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General NPI Number Information
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NPI Number | 1649658121
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Entity Type | Organization
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Legal Business Name | SPECTRUM HEALTH HOSPITALS
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Dates
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Enumeration Date | 05/15/2015
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Last Update Date | 05/15/2015
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Provider Practice Location Address
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Address Line | 100 MICHIGAN ST NE
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-2560
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Country | US
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Telephone | 616-391-1675
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Fax |
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Provider Business Mailing Address
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Address Line | 100 MICHIGAN ST NE MC 47
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-2560
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Country | US
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Telephone | 616-391-1675
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Fax |
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Authorized Official
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Title or Position | VP HEALTH MANAGEMENT SERVICES
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Name | MARNIE BYERS
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Credential |
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Telephone | 616-486-6620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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