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General NPI Number Information
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NPI Number | 1336593615
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Entity Type | Organization
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Legal Business Name | SPARROW HOSPITAL
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Dates
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Enumeration Date | 04/22/2016
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Last Update Date | 04/22/2016
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Provider Practice Location Address
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Address Line | 1215 E MICHIGAN AVE
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City | LANSING
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State | MI
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Zip | 48912-1811
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Country | US
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Telephone | 517-364-4340
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Fax |
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Provider Business Mailing Address
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Address Line | 8523 HUCKLEBERRY LN
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City | LANSING
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State | MI
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Zip | 48917-9636
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Country | US
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Telephone | 517-627-7971
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JOAN CONNER
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Credential |
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Telephone | 517-364-4340
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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 | 4704189405
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License Number State | MI
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