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General NPI Number Information
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NPI Number | 1992988562
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Entity Type | Organization
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Legal Business Name | HACKLEY HOSPITAL
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Dates
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Enumeration Date | 12/06/2007
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Last Update Date | 01/07/2008
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Provider Practice Location Address
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Address Line | 6401 PRAIRIE ST SUITE 1200
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City | MUSKEGON
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State | MI
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Zip | 49444-7840
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Country | US
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Telephone | 231-724-7861
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Fax | 231-724-7808
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Provider Business Mailing Address
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Address Line | 6401 PRAIRIE ST SUITE 1200
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City | MUSKEGON
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State | MI
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Zip | 49444-7840
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Country | US
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Telephone | 231-724-7800
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LORI MUELLERLEILE
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Credential |
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Telephone | 231-728-4753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State | MI
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