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General NPI Number Information
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NPI Number | 1427212711
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Entity Type | Organization
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Legal Business Name | HENRY FORD HOSPITAL
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Dates
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Enumeration Date | 07/15/2008
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Last Update Date | 07/15/2008
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Provider Practice Location Address
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Address Line | 1 FORD PL
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City | DETROIT
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State | MI
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Zip | 48202-3450
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Country | US
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Telephone | 313-916-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 421 BALDWIN AVE APT 203
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City | ROCHESTER
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State | MI
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Zip | 48307-2195
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NURSE ANESTHETIST
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Name | MISS KATHLEEN ANTONIETTA CARADONNA
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Credential |
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Telephone | 954-864-9254
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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 | 4704245953
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License Number State | MI
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