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General NPI Number Information
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NPI Number | 1457304495
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Entity Type | Organization
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Legal Business Name | SPECTRUM HEALTH UNITED
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 615 S BOWER ST
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City | GREENVILLE
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State | MI
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Zip | 48838-2614
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Country | US
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Telephone | 616-754-4691
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Fax | 616-754-2735
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Provider Business Mailing Address
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Address Line | 615 S BOWER ST
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City | GREENVILLE
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State | MI
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Zip | 48838-2614
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Country | US
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Telephone | 616-754-4691
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Fax | 616-754-2735
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Authorized Official
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Title or Position | CFO
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Name | MR. MATTHEW E COX
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Credential |
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Telephone | 616-391-1663
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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 | 590060
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License Number State | MI
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