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General NPI Number Information
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NPI Number | 1669271326
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Entity Type | Organization
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Legal Business Name | ASCENSION GENESYS HOSPITAL
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1 GENESYS PKWY
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City | GRAND BLANC
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State | MI
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Zip | 48439-8065
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Country | US
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Telephone | 810-606-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 3278 SOLUTIONS CTR
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City | CHICAGO
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State | IL
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Zip | 60677-3002
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Country | US
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Telephone | 810-606-5000
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | SARAH STARKEL
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Credential |
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Telephone | 810-397-0582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number |
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License Number State |
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