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General NPI Number Information
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NPI Number | 1508938127
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Entity Type | Organization
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Legal Business Name | AAHI ST JOSEPH MERCY HOSPITAL INC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 5301 EAST HURON RIVER DRIVE
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City | ANN ARBOR
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State | MI
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Zip | 48106
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Country | US
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Telephone | 734-712-2492
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Fax | 734-712-5465
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Provider Business Mailing Address
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Address Line | PO BOX 3470
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City | FARMINGTON HILLS
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State | MI
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Zip | 48333-3470
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Country | US
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Telephone | 248-305-7985
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Fax | 248-305-8677
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MICHAEL PAUL GUSHO
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Credential |
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Telephone | 231-672-3886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 5301001628
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 5301001628
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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