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General NPI Number Information
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NPI Number | 1720390453
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Entity Type | Organization
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Legal Business Name | HENRY FORD HEALTH MACOMB-OAKLAND HOSPITAL
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Dates
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Enumeration Date | 07/10/2010
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 27351 DEQUINDRE RD
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City | MADISON HEIGHTS
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State | MI
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Zip | 48071-3487
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Country | US
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Telephone | 248-680-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 3195 SOLUTIONS CENTER BOX 773195
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City | CHICAGO
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State | IL
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Zip | 60677-0001
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Country | US
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Telephone | 248-680-8000
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Fax |
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Authorized Official
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Title or Position | MANAGER OF PROVIDER AFFAIRS
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Name | KIMBERLY CEBALT
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Credential |
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Telephone | 313-874-6764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number |
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State | MI
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Taxonomy #6
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | MI
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