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General NPI Number Information
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NPI Number | 1992319289
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Entity Type | Organization
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Legal Business Name | DIRECT CARE INJURY & PAIN GROUP PC
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Dates
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Enumeration Date | 09/03/2020
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Last Update Date | 09/03/2020
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Provider Practice Location Address
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Address Line | 8560 N SILVERY LN STE 202
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-4515
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Country | US
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Telephone | 248-890-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 8560 N SILVERY LN STE 202
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-4515
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Country | US
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Telephone | 248-890-7000
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Fax |
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Authorized Official
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Title or Position | MANAGEMENT
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Name | CALVIN CAREY
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Credential |
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Telephone | 248-890-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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