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General NPI Number Information
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NPI Number | 1932473725
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Entity Type | Organization
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Legal Business Name | VA ANN ARBOR HEALTHCARE SYSTEM
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Dates
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Enumeration Date | 02/27/2012
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Last Update Date | 02/27/2012
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Provider Practice Location Address
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Address Line | 2215 FULLER RD
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City | ANN ARBOR
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State | MI
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Zip | 48105-2303
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Country | US
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Telephone | 734-845-5891
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Fax | 734-845-3290
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Provider Business Mailing Address
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Address Line | 2215 FULLER RD
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City | ANN ARBOR
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State | MI
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Zip | 48105-2303
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Country | US
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Telephone | 734-845-5891
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Fax | 734-845-3290
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Authorized Official
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Title or Position | STAFF NURSE
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Name | CHRISTINE ANN OSBORNE
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Credential | RN
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Telephone | 734-845-5891
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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 | 4704153003
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License Number State | MI
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