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General NPI Number Information
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NPI Number | 1316924061
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Entity Type | Organization
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Legal Business Name | HENRY FORD HEALTH SYSTEM
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Dates
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Enumeration Date | 12/23/2005
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 21298 MELROSE AVE
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City | SOUTHFIELD
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State | MI
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Zip | 48075-7901
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Country | US
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Telephone | 248-827-3370
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Fax | 248-827-7234
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Provider Business Mailing Address
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Address Line | 21298 MELROSE AVE
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City | SOUTHFIELD
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State | MI
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Zip | 48075-7901
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Country | US
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Telephone | 248-827-3370
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Fax | 248-827-7234
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. MICHAEL S. ELLIS
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Credential | RN
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Telephone | 313-874-6549
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 5301005157
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License Number State | MI
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