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NPI 1487067260

NPI 1487067260 : SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN : MACOMB, MI

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General NPI Number Information
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    NPI Number           |    1487067260
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    Entity Type          |    Organization 
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    Legal Business Name  |    SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN 
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Dates
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    Enumeration Date     |    06/09/2014
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    Last Update Date     |    04/16/2025
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Provider Practice Location Address
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    Address Line         |    17900 23 MILE RD SUITE 401
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    City                 |    MACOMB
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    State                |    MI
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    Zip                  |    48044-1161
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    Country              |    US
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    Telephone            |    586-868-9040
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    Fax                  |    586-868-9013
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Provider Business Mailing Address
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    Address Line         |    PO BOX 17496 
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    City                 |    BELFAST
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    State                |    ME
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    Zip                  |    04915-4069
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    Country              |    US
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    Telephone            |    248-680-8000
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    Fax                  |    248-292-3852
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     RACHEL R PERRY 
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    Credential           |    
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    Telephone            |    248-221-1918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    
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    License Number State |    MI
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