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General NPI Number Information
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NPI Number | 1023001146
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Entity Type | Organization
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Legal Business Name | PENNOCK HOSPITAL
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Dates
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Enumeration Date | 08/24/2005
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Last Update Date | 04/27/2016
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Provider Practice Location Address
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Address Line | 1009 W GREEN ST
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City | HASTINGS
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State | MI
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Zip | 49058-1710
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Country | US
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Telephone | 269-945-1212
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Fax | 269-948-3117
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Provider Business Mailing Address
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Address Line | 1009 W GREEN ST
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City | HASTINGS
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State | MI
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Zip | 49058-1710
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Country | US
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Telephone | 269-945-1212
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Fax | 269-948-3117
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHERYL L LEWIS-BLAKE
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Credential |
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Telephone | 269-948-3123
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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 |
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