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General NPI Number Information
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NPI Number | 1114428893
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Entity Type | Organization
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Legal Business Name | SPARROW HEALTH SYSTEM
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Dates
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Enumeration Date | 02/27/2018
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Last Update Date | 02/27/2018
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Provider Practice Location Address
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Address Line | 1200 E MICHIGAN AVE
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City | LANSING
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State | MI
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Zip | 48912-1800
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Country | US
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Telephone | 517-374-5252
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 E MICHIGAN AVE
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City | LANSING
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State | MI
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Zip | 48912-1800
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Country | US
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Telephone | 517-364-5252
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST ASSISTANT
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Name | LETTIE J DAVENPORT
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Credential | AAS
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Telephone | 517-694-2764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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