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General NPI Number Information
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NPI Number | 1306387675
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Entity Type | Organization
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Legal Business Name | VHS DETROIT BUSINESSES INC
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Dates
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Enumeration Date | 03/20/2017
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Last Update Date | 03/20/2017
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Provider Practice Location Address
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Address Line | 4707 SAINT ANTOINE ST SUITE 5 SOUTH
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City | DETROIT
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State | MI
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Zip | 48201-1427
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Country | US
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Telephone | 800-543-0161
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Fax | 313-745-0772
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Provider Business Mailing Address
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Address Line | 4707 SAINT ANTOINE ST SUITE 5 SOUTH
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City | DETROIT
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State | MI
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Zip | 48201-1427
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Country | US
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Telephone | 800-543-0161
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Fax | 313-745-0772
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Authorized Official
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Title or Position | PLAN ADMINISTRATOR
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Name | CHRIS ALLEN
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Credential |
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Telephone | 800-543-0161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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