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General NPI Number Information
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NPI Number | 1013089820
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Entity Type | Organization
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Legal Business Name | BRONSON METHODIST HOSPITAL
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 6220 W MAIN ST
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City | KALAMAZOO
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State | MI
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Zip | 49009-8925
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Country | US
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Telephone | 269-552-4212
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Fax |
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Provider Business Mailing Address
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Address Line | 301 JOHN ST BOX 42
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City | KALAMAZOO
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State | MI
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Zip | 49007-5295
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Country | US
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Telephone | 269-341-7806
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Fax |
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Authorized Official
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Title or Position | SVP, CFO
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Name | REBECCA EAST
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Credential |
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Telephone | 269-341-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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