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General NPI Number Information
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NPI Number | 1528556750
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Entity Type | Organization
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Legal Business Name | SAINT MARY'S HEALTH SERVICES
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Dates
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Enumeration Date | 04/24/2018
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Last Update Date | 04/24/2018
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Provider Practice Location Address
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Address Line | 150 JEFFERSON AVE SE STE 140
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-4306
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Country | US
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Telephone | 616-685-3359
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Fax |
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Provider Business Mailing Address
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Address Line | 150 JEFFERSON AVE SE STE 140
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-4306
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Country | US
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Telephone | 616-685-3359
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Fax |
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Authorized Official
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Title or Position | SENIOR REVENUE MANAGEMENT ANALYST
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Name | SUSAN LOCKARD
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Credential |
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Telephone | 734-343-0282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2278E1000X
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Taxonomy Name | Educational Certified Respiratory Therapist
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License Number |
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License Number State |
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