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General NPI Number Information
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NPI Number | 1790195105
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Entity Type | Organization
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Legal Business Name | CHATHAM KENT HEALTH ALLIANCE
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Dates
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Enumeration Date | 05/07/2014
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Last Update Date | 05/07/2014
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Provider Practice Location Address
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Address Line | 80 GRAND AVENUE
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City | CHATHAM
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State | ONTARIO
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Zip | N7M5L9
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Country | CA
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Telephone | 519-352-6400
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Fax | 519-380-2877
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Provider Business Mailing Address
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Address Line | 80 GRAND AVENUE PO BOX 2030
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City | CHATHAM
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State | ONTARIO
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Zip | N7M5L9
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Country | CA
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Telephone | 519-352-6400
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Fax | 519-380-2877
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | D TETZLAFF
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Credential | CGA
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Telephone | 519-352-6400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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