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General NPI Number Information
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NPI Number | 1285722751
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Entity Type | Organization
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Legal Business Name | CHELSEA COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 11/15/2016
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Provider Practice Location Address
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Address Line | 14650 E OLD US HIGHWAY 12 SUITE 103
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City | CHELSEA
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State | MI
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Zip | 48118-1801
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Country | US
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Telephone | 734-593-5900
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Fax | 734-593-5905
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Provider Business Mailing Address
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Address Line | 14650 E OLD US HIGHWAY 12 SUITE 103
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City | CHELSEA
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State | MI
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Zip | 48118-1801
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Country | US
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Telephone | 734-593-5900
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Fax | 734-593-5905
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Authorized Official
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Title or Position | REGIONAL MANAGER, RETAIL PHARMACY
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Name | ROBERT LOVELAND
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Credential | PHARMD
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Telephone | 734-593-5900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 5301009104
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License Number State | MI
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