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General NPI Number Information
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NPI Number | 1790448801
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Entity Type | Organization
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Legal Business Name | DECKERVILLE COMMUNITY HOSPITAL, INC
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Dates
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Enumeration Date | 10/15/2021
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Last Update Date | 10/15/2021
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Provider Practice Location Address
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Address Line | 2750 MAIN ST STE 6
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City | MARLETTE
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State | MI
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Zip | 48453-1100
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Country | US
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Telephone | 989-635-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 3559 PINE ST
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City | DECKERVILLE
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State | MI
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Zip | 48427-7703
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DANIEL G BABCOCK
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Credential |
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Telephone | 810-376-2835
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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