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General NPI Number Information
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NPI Number | 1104021815
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Entity Type | Organization
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Legal Business Name | TRINITY HEALTH MICHIGAN ANN ARBOR
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 11/08/2010
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Provider Practice Location Address
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Address Line | 5301 EAST HURON RIVER DRIVE
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City | ANN ARBOR
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State | MI
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Zip | 48106-0995
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Country | US
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Telephone | 734-712-5709
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Fax |
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Provider Business Mailing Address
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Address Line | 5301 EAST HURON RIVER DRIVE
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City | ANN ARBOR
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State | MI
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Zip | 48106-0995
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Country | US
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Telephone | 734-712-5709
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Fax |
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Authorized Official
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Title or Position | PHARAMCY COORDINATOR
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Name | NANCY SOVA
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Credential |
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Telephone | 734-572-2964
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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 | 5301007586
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License Number State | MI
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