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General NPI Number Information
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NPI Number | 1174832216
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Entity Type | Organization
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Legal Business Name | HENRY FORD HEALTH SYSTEM
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Dates
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Enumeration Date | 10/06/2010
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Last Update Date | 10/06/2010
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Provider Practice Location Address
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Address Line | 1 FORD PL
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City | DETROIT
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State | MI
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Zip | 48202-3450
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Country | US
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Telephone | 313-850-2395
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Fax |
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Provider Business Mailing Address
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Address Line | 1 FORD PL
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City | DETROIT
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State | MI
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Zip | 48202-3450
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Country | US
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Telephone | 313-850-2395
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Fax |
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Authorized Official
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Title or Position | PEDIATRICS ADMINISTRATOR
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Name | KATHLEEN CONWAY
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Credential |
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Telephone | 313-874-6307
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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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