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General NPI Number Information
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NPI Number | 1710968748
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Entity Type | Organization
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Legal Business Name | MARQUETTE GENERAL HOSPITAL, INC
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Dates
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Enumeration Date | 11/08/2005
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Last Update Date | 08/14/2012
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Provider Practice Location Address
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Address Line | 2420 1ST AVENUE SOUTH SUITE 102
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City | ESCANABA
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State | MI
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Zip | 49829-1309
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Country | US
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Telephone | 906-789-1305
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Fax | 906-789-9144
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Provider Business Mailing Address
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Address Line | 580 W COLLEGE AVE
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City | MARQUETTE
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State | MI
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Zip | 49855-2705
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Country | US
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Telephone | 906-228-4325
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Fax | 906-225-3642
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Authorized Official
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Title or Position | DIRECTOR OF HOME HEALTH
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Name | CRAIG CHARTIER
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Credential |
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Telephone | 906-228-4325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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