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General NPI Number Information
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NPI Number | 1720959661
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Entity Type | Organization
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Legal Business Name | HENRY FORD HEALTH GENESYS HOSPITAL
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Dates
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Enumeration Date | 09/15/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1096 S BELSAY RD STE G
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City | BURTON
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State | MI
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Zip | 48509-1948
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Country | US
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Telephone | 810-743-1611
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Fax | 810-743-2930
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Provider Business Mailing 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 | 313-874-6764
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Fax | 313-874-4806
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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