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General NPI Number Information
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NPI Number | 1174337968
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Entity Type | Organization
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Legal Business Name | INDEHEALTH, INC.
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 370 JAY ST
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City | BROOKLYN
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State | NY
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Zip | 11201-3828
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Country | US
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Telephone | 949-220-3429
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Fax |
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Provider Business Mailing Address
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Address Line | 370 JAY ST
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City | BROOKLYN
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State | NY
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Zip | 11201-3828
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER & CHIEF EXECUTIVE OFFICER
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Name | TSIKATA APENYO
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Credential | MD
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Telephone | 949-220-3429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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