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General NPI Number Information
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NPI Number | 1740275387
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Entity Type | Organization
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Legal Business Name | BARBARA ANN KARMANOS CANCER INSTITUTE
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 24601 NORTHWESTERN HWY BILLING DEPT.
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2473
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Country | US
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Telephone | 248-827-4580
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Fax | 248-827-7663
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Provider Business Mailing Address
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Address Line | 4100 JOHN R ST
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City | DETROIT
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State | MI
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Zip | 48201-2013
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Country | US
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Telephone | 180-052-7626
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | WILLIAM G BENNETT
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Credential |
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Telephone | 313-576-8664
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 833501
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License Number State | MI
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