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General NPI Number Information
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NPI Number | 1518753441
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Entity Type | Organization
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Legal Business Name | ASCENSION BORGESS HOSPITAL
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 1521 GULL RD
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City | KALAMAZOO
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State | MI
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Zip | 49048-1640
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Country | US
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Telephone | 269-226-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1521 GULL RD
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City | KALAMAZOO
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State | MI
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Zip | 49048-1640
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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 | CREDENTIALING ASSISTANT
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Name | NICOLE MARLOWE
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Credential |
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Telephone | 269-552-2823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085D0003X
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Taxonomy Name | Diagnostic Neuroimaging (Radiology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085H0002X
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Taxonomy Name | Hospice and Palliative Medicine (Radiology) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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