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General NPI Number Information
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NPI Number | 1386875961
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Entity Type | Organization
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Legal Business Name | SINAI HOSPITAL OF GREATER DETROIT
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Dates
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Enumeration Date | 07/31/2009
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Last Update Date | 12/01/2009
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Provider Practice Location Address
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Address Line | 28500 ORCHARD LAKE RD
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-2936
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Country | US
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Telephone | 313-966-2026
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Fax | 313-578-3964
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Provider Business Mailing Address
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Address Line | PO BOX 67000 DEPT 123101
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City | DETROIT
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State | MI
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Zip | 48267-1231
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Country | US
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Telephone | 313-966-2026
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Fax | 313-578-3964
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Authorized Official
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Title or Position | VICE PRESIDENT FINANCE
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Name | MR. WILLIAM LUBAWAY
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Credential | VICE PRESIDENT
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Telephone | 313-966-2026
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 830450
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License Number State | MI
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