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General NPI Number Information
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NPI Number | 1295974863
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Entity Type | Organization
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Legal Business Name | ASPIRUS ONTONAGON HOSPITAL, INC
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Dates
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Enumeration Date | 02/05/2009
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Last Update Date | 03/11/2020
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Provider Practice Location Address
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Address Line | 13833 US HIGHWAY 45
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City | BRUCE CROSSING
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State | MI
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Zip | 49912-9355
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Country | US
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Telephone | 906-827-3201
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Fax | 906-827-3203
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Provider Business Mailing Address
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Address Line | 29980 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1299
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Country | US
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Telephone | 715-847-2304
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Fax |
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Authorized Official
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Title or Position | VP OF REVENUE CYCLE
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Name | LORI PECK
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Credential |
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Telephone | 715-847-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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