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General NPI Number Information
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NPI Number | 1023041670
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Entity Type | Organization
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Legal Business Name | SAINT JOSEPH MERCY SALINE HOSPITAL
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 400 W RUSSELL ST
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City | SALINE
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State | MI
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Zip | 48176-1183
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Country | US
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Telephone | 734-429-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 400 W RUSSELL ST
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City | SALINE
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State | MI
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Zip | 48176-1183
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Country | US
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Telephone | 734-429-1500
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Fax |
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | GARRY FAJA
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Credential |
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Telephone | 734-712-3791
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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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