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General NPI Number Information
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NPI Number | 1821669730
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Entity Type | Organization
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Legal Business Name | HENR Y FORD HEALTH SYSTEM
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Dates
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Enumeration Date | 07/02/2021
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Last Update Date | 04/24/2023
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Provider Practice Location Address
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Address Line | 2500 E GRAND BLVD
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City | DETROIT
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State | MI
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Zip | 48211-2006
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Country | US
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Telephone | 800-653-6568
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Fax |
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Provider Business Mailing Address
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Address Line | 1 FORD PL STE 3A
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City | DETROIT
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State | MI
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Zip | 48202-3450
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Country | US
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Telephone | 313-874-6764
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Fax | 313-876-1305
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Authorized Official
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Title or Position | LEAD ENROLLMENT SPECIALIST
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Name | KIMBERLY CEBALT
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Credential |
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Telephone | 313-874-6764
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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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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