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General NPI Number Information
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NPI Number | 1215177019
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Entity Type | Organization
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Legal Business Name | DETROIT MEDICAL CENTRE
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Dates
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Enumeration Date | 03/06/2009
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Last Update Date | 03/06/2009
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Provider Practice Location Address
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Address Line | 5000 HEATHER DRIVE
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City | DEARBORN
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State | MI
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Zip | 48216
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Country | US
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Telephone | 904-316-4910
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Fax |
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Provider Business Mailing Address
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Address Line | 5000 HEATHER DRIVE
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City | DEARBORN
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State | MI
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Zip | 48216
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | DR. THERESA VETTESE
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Credential | MD
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Telephone | 313-745-4832
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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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