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General NPI Number Information
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NPI Number | 1871518019
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Entity Type | Organization
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Legal Business Name | ASCENSION BORGESS ALLEGAN HOSPITAL
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 08/18/2021
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Provider Practice Location Address
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Address Line | 551 LINN ST SUITE 230
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City | ALLEGAN
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State | MI
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Zip | 49010-1595
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Country | US
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Telephone | 269-686-4110
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Fax | 269-686-2135
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Provider Business Mailing Address
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Address Line | 551 LINN ST SUITE 230
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City | ALLEGAN
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State | MI
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Zip | 49010-1595
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Country | US
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Telephone | 269-686-4110
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Fax | 269-686-2135
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Authorized Official
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Title or Position | VP FINANCE
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Name | MR. MARINA HOUGHTON
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Credential |
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Telephone | 313-570-5704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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