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General NPI Number Information
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NPI Number | 1386553642
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Entity Type | Organization
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Legal Business Name | ENITET HEALTH INC
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 254 CHAPMAN RD STE 208-28331
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City | NEWARK
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State | DE
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Zip | 19702
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Country | US
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Telephone | 888-252-0106
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Fax |
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Provider Business Mailing Address
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Address Line | 254 CHAPMAN RD STE 208-28331
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City | NEWARK
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State | DE
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Zip | 19702
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Country | US
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Telephone | 888-252-0106
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | REGINALD TYRONE FORD
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Credential |
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Telephone | 205-565-4900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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