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General NPI Number Information
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NPI Number | 1518150721
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Entity Type | Organization
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Legal Business Name | BCHS ER PHYSICIANS
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Dates
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Enumeration Date | 08/21/2007
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Last Update Date | 08/21/2007
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Provider Practice Location Address
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Address Line | 300 NORTH AVE
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City | BATTLE CREEK
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State | MI
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Zip | 49017-3307
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Country | US
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Telephone | 616-643-3500
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Fax | 616-643-3659
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Provider Business Mailing Address
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Address Line | DEPT CH14260
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City | PALATINE
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State | IL
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Zip | 60055-4260
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Country | US
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Telephone | 616-643-3500
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Fax | 616-643-3659
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. JEFFREY R MITCHELL
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Credential | M.D.
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Telephone | 616-966-8004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 130031
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License Number State | MI
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