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General NPI Number Information
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NPI Number | 1285438622
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Entity Type | Organization
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Legal Business Name | NEIGHBORHOOD HEALTH CLINICS, INC
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Dates
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Enumeration Date | 04/03/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 3501 WARSAW ST
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City | FORT WAYNE
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State | IN
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Zip | 46806-4175
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Country | US
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Telephone | 260-458-2641
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Fax | 260-458-3093
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Provider Business Mailing Address
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Address Line | PO BOX 11949
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City | FORT WAYNE
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State | IN
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Zip | 46862-1949
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Country | US
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Telephone | 260-458-2641
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Fax | 260-458-2574
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Authorized Official
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Title or Position | CEO
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Name | ANGELA ZAEGEL
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Credential |
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Telephone | 260-458-2646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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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 | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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