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General NPI Number Information
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NPI Number | 1093744153
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Entity Type | Organization
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Legal Business Name | WILLIAM BEAUMONT HOSPITAL
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 31157 WOODWARD AVE STE 101
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City | ROYAL OAK
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State | MI
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Zip | 48073-0996
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Country | US
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Telephone | 947-523-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 26901 BEAUMONT BLVD BLDG D6
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City | SOUTHFIELD
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State | MI
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Zip | 48033-3849
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Country | US
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Telephone | 947-522-1963
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER,
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Name | MATTHEW E COX
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Credential |
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Telephone | 616-486-5246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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