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NPI 1003056169

NPI 1003056169 : HENRY FORD HOSPITAL : DETROIT, MI

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General NPI Number Information
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    NPI Number           |    1003056169
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    Entity Type          |    Organization 
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    Legal Business Name  |    HENRY FORD HOSPITAL 
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Dates
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    Enumeration Date     |    03/03/2009
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    Last Update Date     |    03/03/2009
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Provider Practice Location Address
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    Address Line         |    2799 W GRAND BLVD 
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    City                 |    DETROIT
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    State                |    MI
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    Zip                  |    48202-2608
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    Country              |    US
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    Telephone            |    313-916-2600
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    311 BAKER ST 
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    City                 |    ROYAL OAK
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    State                |    MI
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    Zip                  |    48067-2216
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    Country              |    US
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    Telephone            |    217-412-5456
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CHAIRMAN OF ANESTHESIOLOGY
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    Name                 |     MORRIS  BROWN 
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    Credential           |    
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    Telephone            |    313-916-8234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    282N00000X
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    Taxonomy Name        |    General Acute Care Hospital
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    License Number       |    
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    License Number State |    MI
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