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General NPI Number Information
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NPI Number | 1982598686
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Entity Type | Organization
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Legal Business Name | HENRY FORD MACOMB HOSPITAL CORPORATION
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Dates
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Enumeration Date | 06/06/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 43421 GARFIELD RD
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-1133
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Country | US
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Telephone | 586-163-2106
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Fax | 586-263-2859
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Provider Business Mailing Address
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Address Line | 43421 GARFIELD RD STE 203
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-1133
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Country | US
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Telephone | 586-163-2106
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Fax | 586-263-2859
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Authorized Official
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Title or Position | SYSTEM DIRECTOR PROVIDER AFFAIRS
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Name | KELLY RATOWSKI
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Credential |
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Telephone | 313-874-4806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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