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General NPI Number Information
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NPI Number | 1336508183
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Entity Type | Organization
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Legal Business Name | HOLLAND HOSPITAL
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Dates
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Enumeration Date | 02/22/2016
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Last Update Date | 02/22/2016
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Provider Practice Location Address
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Address Line | 175 S WAVERLY RD SUITE A
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City | HOLLAND
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State | MI
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Zip | 49423-7906
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Country | US
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Telephone | 616-394-3344
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Fax |
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Provider Business Mailing Address
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Address Line | 602 MICHIGAN AVE
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City | HOLLAND
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State | MI
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Zip | 49423-4918
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Country | US
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Telephone | 616-392-5141
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Fax |
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Authorized Official
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Title or Position | CFO - VP FINANCE
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Name | TERRY STEELE
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Credential |
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Telephone | 616-392-5141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | L435401
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License Number State | MI
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