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General NPI Number Information
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NPI Number | 1588601959
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Entity Type | Organization
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Legal Business Name | DICKINSON COUNTY HEALTHCARE SYSTEM
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 02/16/2008
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Provider Practice Location Address
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Address Line | 1400 W ICE LAKE RD
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City | IRON RIVER
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State | MI
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Zip | 49935-9526
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Country | US
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Telephone | 906-265-6121
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 549
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City | IRON MOUNTAIN
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State | MI
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Zip | 49801-0549
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Country | US
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Telephone | 906-776-5642
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Fax | 906-776-5639
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Authorized Official
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Title or Position | CFO
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Name | JOHN D LEE
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Credential |
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Telephone | 906-776-5518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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