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General NPI Number Information
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NPI Number | 1487722682
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Entity Type | Organization
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Legal Business Name | CITY OF ECORSE
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 12/13/2022
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Provider Practice Location Address
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Address Line | 3869 W JEFFERSON AVE
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City | ECORSE
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State | MI
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Zip | 48229-1701
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Country | US
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Telephone | 313-381-6889
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Fax | 313-386-8162
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Provider Business Mailing Address
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Address Line | 3869 W JEFFERSON AVE
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City | ECORSE
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State | MI
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Zip | 48229-1701
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Country | US
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Telephone | 313-381-6889
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Fax | 313-386-8162
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | FRANKLIN HAYES
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Credential |
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Telephone | 313-779-9032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 821005
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License Number State | MI
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