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General NPI Number Information
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NPI Number | 1356287221
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Entity Type | Organization
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Legal Business Name | YACH
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 24777 GREENFIELD RD # 201
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City | SOUTHFIELD
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State | MI
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Zip | 48075-3065
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Country | US
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Telephone | 248-621-4414
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Fax |
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Provider Business Mailing Address
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Address Line | 24777 GREENFIELD RD # 201
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City | SOUTHFIELD
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State | MI
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Zip | 48075-3065
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Country | US
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Telephone | 248-621-4414
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RACHEL ADLER
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Credential | FNP-C
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Telephone | 248-259-3612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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