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General NPI Number Information
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NPI Number | 1801857362
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Entity Type | Organization
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Legal Business Name | DETROIT RECEIVING HOSPITAL AND UNIVERSITY HEALTH CENTER
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Dates
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Enumeration Date | 03/31/2006
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Last Update Date | 02/24/2011
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Provider Practice Location Address
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Address Line | 4201 SAINT ANTOINE ST
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City | DETROIT
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State | MI
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Zip | 48201-2153
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Country | US
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Telephone | 313-578-2164
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Fax | 313-578-3964
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Provider Business Mailing Address
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Address Line | 4201 SAINT ANTOINE ST
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City | DETROIT
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State | MI
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Zip | 48201-2153
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Country | US
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Telephone | 313-578-2164
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Fax | 313-578-3964
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Authorized Official
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Title or Position | VICE PRESIDENT FINANCE
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Name | MRS. GLORIA LARKINS
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Credential | VICE PRESIDENT
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Telephone | 313-578-2164
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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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