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General NPI Number Information
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NPI Number | 1730361858
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Entity Type | Organization
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Legal Business Name | HEALTHSOURCE SAGINAW INC
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 3340 HOSPITAL RD
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City | SAGINAW
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State | MI
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Zip | 48603-9622
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Country | US
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Telephone | 989-790-7779
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Fax | 989-964-5008
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Provider Business Mailing Address
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Address Line | 3340 HOSPITAL RD
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City | SAGINAW
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State | MI
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Zip | 48603-9622
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Country | US
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Telephone | 989-790-7779
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Fax | 989-964-5008
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Authorized Official
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Title or Position | DIRECTOR PATIENT ACCOUNTING
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Name | MARY E WILLIAMS
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Credential |
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Telephone | 989-790-7783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | L847811
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 730060
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License Number State | MI
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