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General NPI Number Information
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NPI Number | 1598337602
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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 | 07/16/2021
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Last Update Date | 03/05/2024
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Provider Practice Location Address
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Address Line | 1 FORD PL STE 3A
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City | DETROIT
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State | MI
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Zip | 48202-3450
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Country | US
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Telephone | 313-874-4806
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Fax | 313-876-1305
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Provider Business Mailing Address
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Address Line | 1 FORD PL STE 4F
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City | DETROIT
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State | MI
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Zip | 48202-3450
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Country | US
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Telephone | 313-300-8355
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Fax | 313-876-1305
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Authorized Official
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Title or Position | DIRECTOR OF PROVIDER AFFAIRS
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Name | KELLY RATOWSKI
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Credential |
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Telephone | 248-703-2003
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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