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General NPI Number Information
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NPI Number | 1912335373
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Entity Type | Organization
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Legal Business Name | BOTSFORD GENERAL HOSPITAL
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Dates
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Enumeration Date | 10/23/2013
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 27900 GRAND RIVER AVE SUITE 230
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City | FARMINGTON HILLS
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State | MI
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Zip | 48336-5919
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Country | US
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Telephone | 947-521-4828
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Fax | 248-473-4825
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Provider Business Mailing Address
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Address Line | 26901 BEAUMONT BLVD
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City | SOUTHFIELD
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State | MI
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Zip | 48033-3849
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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 | CFO
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Name | MATTHEW E COX
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Credential |
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Telephone | 616-295-4264
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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