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General NPI Number Information
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NPI Number | 1528033800
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Entity Type | Organization
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Legal Business Name | HENRY FORD HEALTH SYSTEM
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 11/05/2008
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Provider Practice Location Address
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Address Line | 109 PLAZA EAST DRIVE SUITE A
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City | WEST BRANCH
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State | MI
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Zip | 48661-1461
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Country | US
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Telephone | 989-345-7090
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Fax |
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Provider Business Mailing Address
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Address Line | 21651 MELROSE AVE
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City | SOUTHFIELD
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State | MI
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Zip | 48075-7906
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Country | US
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Telephone | 248-353-2468
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Fax | 248-353-4206
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Authorized Official
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Title or Position | VP OF OPERATIONS-CCS
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Name | RONALD C SLYTER
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Credential |
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Telephone | 248-723-0201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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