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General NPI Number Information
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NPI Number | 1487572699
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Entity Type | Organization
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Legal Business Name | BRONSON METHODIST HOSPITAL
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Dates
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Enumeration Date | 07/07/2026
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 501 S DRAKE RD
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City | KALAMAZOO
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State | MI
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Zip | 49009-3234
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Country | US
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Telephone | 269-308-7001
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Fax |
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Provider Business Mailing Address
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Address Line | 2825 AIRVIEW BLVD
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City | PORTAGE
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State | MI
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Zip | 49002-1802
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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 | SVP, CFO
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Name | REBECCA EAST
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Credential |
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Telephone | 269-341-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State |
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