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General NPI Number Information
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NPI Number | 1457374514
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Entity Type | Organization
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Legal Business Name | CHELSEA COMMUNITY HOSPITAL
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 08/29/2016
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Provider Practice Location Address
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Address Line | 14750 E OLD US HIGHWAY 12
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City | CHELSEA
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State | MI
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Zip | 48118-1185
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Country | US
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Telephone | 734-593-5910
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Fax | 734-593-5915
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Provider Business Mailing Address
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Address Line | PO BOX 457
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City | CHELSEA
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State | MI
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Zip | 48118-0457
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Country | US
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Telephone | 734-593-5910
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Fax | 734-593-5915
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Authorized Official
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Title or Position | CFO
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Name | MICHAEL GUSHO
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Credential |
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Telephone | 734-858-6174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 0449850001
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License Number State | MI
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