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General NPI Number Information
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NPI Number | 1023968740
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Entity Type | Organization
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Legal Business Name | AGELESS HEALTH LLC
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 1195 E POST RD UNIT 4
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City | MARION
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State | IA
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Zip | 52302-7235
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Country | US
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Telephone | 319-393-3984
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Fax |
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Provider Business Mailing Address
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Address Line | 1195 E POST RD UNIT 4
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City | MARION
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State | IA
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Zip | 52302-7235
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Country | US
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Telephone | 319-393-3984
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. LINDSEY MARTIN
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Credential |
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Telephone | 501-908-3444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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