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General NPI Number Information
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NPI Number | 1972804227
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Entity Type | Organization
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Legal Business Name | HEALTH CHOICE MANAGEMENT GROUP P.L.L.C.
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Dates
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Enumeration Date | 11/03/2010
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Last Update Date | 11/03/2010
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Provider Practice Location Address
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Address Line | 3120 CARPENTER ST
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City | HAMTRAMCK
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State | MI
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Zip | 48212-9802
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Country | US
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Telephone | 313-377-5331
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Fax |
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Provider Business Mailing Address
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Address Line | 27055 NORTHMORE ST
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-3643
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Country | US
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Telephone | 313-377-5331
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Fax | 313-359-1995
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAID MARWAN ISSA
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Credential | M.D.
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Telephone | 313-377-5331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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