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General NPI Number Information
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NPI Number | 1376649509
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Entity Type | Organization
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Legal Business Name | BELLIN MEMORIAL HOSPITAL INC
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 1328 US HWY 2
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City | CRYSTAL FALLS
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State | MI
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Zip | 49920
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Country | US
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Telephone | 906-776-0550
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Fax |
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Provider Business Mailing Address
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Address Line | 1328 US HWY 2
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City | CRYSTAL FALLS
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State | MI
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Zip | 49920
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Country | US
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Telephone | 906-776-0550
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALSIT
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Name | DENISE K STROOBANTS
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Credential |
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Telephone | 920-433-7864
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 4301087525
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License Number State | MI
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