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General NPI Number Information
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NPI Number | 1356686349
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Entity Type | Organization
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Legal Business Name | W. A. FOOTE MEMORIAL HOSPITAL, INC.
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Dates
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Enumeration Date | 12/03/2012
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Last Update Date | 04/01/2016
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Provider Practice Location Address
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Address Line | 4400 ANN ARBOR RD
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City | JACKSON
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State | MI
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Zip | 49202-2814
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Country | US
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Telephone | 517-990-0602
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Fax | 517-990-0744
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Provider Business Mailing Address
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Address Line | 4400 ANN ARBOR RD
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City | JACKSON
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State | MI
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Zip | 49202-2814
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Country | US
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Telephone | 517-990-0602
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Fax | 517-990-0744
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Authorized Official
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Title or Position | SR VICE PRESIDENT FINANCE/CFO
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Name | MS. JEANNE' M. WICKENS
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Credential |
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Telephone | 517-841-6979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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License Number |
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License Number State |
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