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General NPI Number Information
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NPI Number | 1023590684
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Entity Type | Organization
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Legal Business Name | REDEEM HEALTH, LLC
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Dates
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Enumeration Date | 08/30/2018
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Last Update Date | 08/19/2019
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Provider Practice Location Address
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Address Line | 350 WESTPARK WAY STE 60
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City | EULESS
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State | TX
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Zip | 76040
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Country | US
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Telephone | 682-738-3573
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Fax | 682-738-3660
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Provider Business Mailing Address
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Address Line | 350 WESTPARK WAY STE 60
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City | EULESS
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State | TX
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Zip | 76040
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Country | US
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Telephone | 682-738-3573
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Fax | 682-738-3660
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Authorized Official
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Title or Position | PRESIDENT/DIRECTOR/OWNER
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Name | MACLEAN LOEBIG
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Credential |
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Telephone | 561-281-4172
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 32231
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License Number State | TX
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