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General NPI Number Information
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NPI Number | 1780776138
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Entity Type | Organization
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Legal Business Name | W.A. FOOTE MEMORIAL HOSPITAL, INC.
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 04/01/2016
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Provider Practice Location Address
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Address Line | 205 N. EAST AVE 7TH FL ONE JACKSON SQUARE
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City | JACKSON
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State | MI
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Zip | 49201
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Country | US
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Telephone | 517-788-4713
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Fax | 517-841-7419
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Provider Business Mailing Address
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Address Line | 205 N. EAST AVE 7TH FL ONE JACKSON SQUARE
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City | JACKSON
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State | MI
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Zip | 49201
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Country | US
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Telephone | 517-788-4713
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Fax | 517-841-7419
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Authorized Official
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Title or Position | SR VP FINANCE/CFO
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Name | MS. JEANNE M. WICKENS
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Credential |
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Telephone | 517-841-6979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0800X
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Taxonomy Name | Endoscopy Clinic/Center
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License Number |
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License Number State |
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