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General NPI Number Information
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NPI Number | 1386565646
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Entity Type | Organization
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Legal Business Name | HENRY FORD PHYSICIAN PARTNERS
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 22250 PROVIDENCE DR STE 204
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City | SOUTHFIELD
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State | MI
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Zip | 48075-6210
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Country | US
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Telephone | 248-662-4333
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 670884
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City | DETROIT
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State | MI
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Zip | 48267-0884
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Country | US
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Telephone | 800-999-5829
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Fax | 248-641-4840
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Authorized Official
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Title or Position | DIRECTOR
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Name | KIMBERLY CEBALT
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Credential |
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Telephone | 313-874-6764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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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 | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number |
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License Number State |
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