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General NPI Number Information
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NPI Number | 1467663153
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Entity Type | Organization
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Legal Business Name | MARQUETTE GENERAL HOSPITAL
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 12/07/2011
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Provider Practice Location Address
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Address Line | 117 N 22ND ST
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City | ESCANABA
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State | MI
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Zip | 49829-2316
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Country | US
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Telephone | 906-225-4718
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Fax | 906-225-4621
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Provider Business Mailing Address
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Address Line | 580 W COLLEGE AVE
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City | MARQUETTE
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State | MI
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Zip | 49855-2705
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Country | US
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Telephone | 906-225-4718
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Fax | 906-225-4621
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Authorized Official
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Title or Position | DIRECTOR OF HOME HEALTH
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Name | CRAIG D CHARTIER
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Credential |
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Telephone | 906-225-4718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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