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General NPI Number Information
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NPI Number | 1962595454
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Entity Type | Organization
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Legal Business Name | MYMICHIGAN MEDICAL CENTER STANDISH
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 805 W CEDAR ST
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City | STANDISH
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State | MI
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Zip | 48658-9526
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Country | US
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Telephone | 989-846-4521
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Fax |
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Provider Business Mailing Address
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Address Line | 805 W CEDAR ST
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City | STANDISH
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State | MI
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Zip | 48658-9526
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Country | US
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Telephone | 989-846-4521
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Fax | 989-846-3541
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Authorized Official
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Title or Position | MANAGER PATIENT ACCOUNTING
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Name | AMANDA PEIRCE
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Credential |
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Telephone | 989-356-7597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 063010
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License Number State | MI
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