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General NPI Number Information
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NPI Number | 1457704850
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Entity Type | Organization
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Legal Business Name | HENRY FORD HEALTH ROCHESTER HOSPITAL
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Dates
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Enumeration Date | 07/20/2016
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 1101 W UNIVERSITY DR
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City | ROCHESTER
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State | MI
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Zip | 48307-1863
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Country | US
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Telephone | 248-652-5120
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Fax | 248-650-9160
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Provider Business Mailing Address
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Address Line | 1 FORD PL STE 3A
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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 | 313-876-1305
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Fax |
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Authorized Official
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Title or Position | MANAGER OF PROVIDER AFFAIRS
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology 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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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