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General NPI Number Information
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NPI Number | 1770647091
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Entity Type | Organization
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Legal Business Name | EDWARD W SPARROW HOSPITAL ASSOCIATION
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Dates
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Enumeration Date | 12/21/2006
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Last Update Date | 10/03/2024
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Provider Practice Location Address
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Address Line | 1215 E MICHIGAN AVE
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City | LANSING
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State | MI
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Zip | 48912-1811
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Country | US
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Telephone | 517-364-2405
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Fax | 517-364-3842
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Provider Business Mailing Address
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Address Line | 1215 E MICHIGAN AVE
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City | LANSING
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State | MI
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Zip | 48912-1811
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Country | US
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Telephone | 517-364-2404
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Fax | 517-364-3188
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Authorized Official
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Title or Position | PHARMACY SUPERVISOR
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Name | MR. TODD M BELDING
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Credential | PHARMD
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Telephone | 517-253-2376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 530100724
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License Number State | MI
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