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General NPI Number Information
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NPI Number | 1861666265
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Entity Type | Organization
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Legal Business Name | OAKWOOD HEALTHCARE, INC
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Dates
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Enumeration Date | 04/16/2008
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Last Update Date | 10/13/2021
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Provider Practice Location Address
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Address Line | 18101 OAKWOOD BLVD
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City | DEARBORN
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State | MI
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Zip | 48124-4089
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Country | US
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Telephone | 313-586-5011
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Fax |
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Provider Business Mailing Address
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Address Line | 26901 BEAUMONT BLVD. COMPLIANCE
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City | SOUTHFIELD
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State | MI
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Zip | 48033-4716
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Country | US
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Telephone | 947-522-1963
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Fax |
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Authorized Official
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Title or Position | PRESIDENT SHARED SERVICES
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Name | LEE ANN ODOM
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Credential |
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Telephone | 947-522-3326
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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 | 820120
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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