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General NPI Number Information
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NPI Number | 1316900871
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Entity Type | Organization
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Legal Business Name | HURON VALLEY HOSPITAL
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1 WILLIAM CARLS DR
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City | COMMERCE
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State | MI
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Zip | 48382-2201
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Country | US
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Telephone | 248-937-5710
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Fax | 248-937-5713
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Provider Business Mailing Address
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Address Line | 1 WILLIAM CARLS DR
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City | COMMERCE
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State | MI
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Zip | 48382-2201
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Country | US
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Telephone | 248-937-5710
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Fax | 248-937-5713
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR OF PHARMACY SERV
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Name | DR. DAVID BACH
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Credential | PHARMD
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Telephone | 313-745-4151
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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 | 5301007839
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License Number State | MI
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