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General NPI Number Information
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NPI Number | 1467315499
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Entity Type | Organization
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Legal Business Name | ASCENSION BORGESS LEE HOSPITAL
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 420 W HIGH ST
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City | DOWAGIAC
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State | MI
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Zip | 49047-1943
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Country | US
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Telephone | 269-783-3052
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Fax |
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Provider Business Mailing Address
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Address Line | 3245 HEALTH DR STE 100
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City | GRANGER
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State | IN
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Zip | 46530-1380
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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 | CFO
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Name | PAUL MYER HOFFMAN
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Credential |
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Telephone | 269-783-3080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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