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General NPI Number Information
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NPI Number | 1598078933
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Entity Type | Organization
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Legal Business Name | MARQUETTE GENERAL HEALTH SYSTEMS
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Dates
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Enumeration Date | 07/14/2010
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Last Update Date | 07/14/2010
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Provider Practice Location Address
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Address Line | 420 W MAGNETIC ST
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City | MARQUETTE
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State | MI
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Zip | 49855-2711
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Country | US
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Telephone | 906-225-3358
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Fax |
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Provider Business Mailing Address
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Address Line | 26 E NICOLET BLVD
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City | MARQUETTE
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State | MI
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Zip | 49855-5262
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Country | US
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Telephone | 906-225-3358
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Fax |
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Authorized Official
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Title or Position | NEONATAL NURSE PRACTITIONER
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Name | MRS. KELLY J KURIN
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Credential | NNP
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Telephone | 906-225-3358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 4704186427
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License Number State | MI
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