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General NPI Number Information
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NPI Number | 1285667931
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Entity Type | Organization
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Legal Business Name | BRONSON -VICKSBURG HOSPITAL, INC.
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 06/02/2009
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Provider Practice Location Address
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Address Line | 13326 N BOULEVARD ST
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City | VICKSBURG
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State | MI
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Zip | 49097-1514
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Country | US
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Telephone | 269-649-2321
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Fax |
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Provider Business Mailing Address
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Address Line | 601 JOHN ST BOX 42
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City | KALAMAZOO
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State | MI
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Zip | 49007-5341
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Country | US
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Telephone | 269-341-7806
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Fax | 269-341-8743
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Authorized Official
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Title or Position | VICE PRESIDENT, FINANCE
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Name | MS. MARY M MEITZ
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Credential |
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Telephone | 269-341-8988
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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 | 390030
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License Number State | MI
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