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General NPI Number Information
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NPI Number | 1245565878
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Entity Type | Organization
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Legal Business Name | BELLIN MEMORIAL HOSPITAL INC
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Dates
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Enumeration Date | 10/15/2009
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 610 S LINCOLN RD
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City | ESCANABA
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State | MI
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Zip | 49829-1215
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Country | US
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Telephone | 906-786-6488
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 22487
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City | GREEN BAY
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State | WI
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Zip | 54305-2487
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Country | US
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Telephone | 920-445-7226
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Fax | 920-445-7229
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | DENISE K STROOBANTS
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Credential |
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Telephone | 920-433-7864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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