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General NPI Number Information
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NPI Number | 1437923539
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Entity Type | Organization
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Legal Business Name | ENTROPY HEALTH, PLLC
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Dates
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Enumeration Date | 11/08/2023
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 4050 DEL MAR DR SW SUITE C
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City | WYOMING
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State | MI
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Zip | 49418-8870
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Country | US
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Telephone | 616-317-4807
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Fax |
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Provider Business Mailing Address
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Address Line | 4050 DEL MAR DR SW STE 3
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City | WYOMING
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State | MI
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Zip | 49418-8870
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Country | US
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Telephone | 616-217-9591
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RANDALL DUTHLER
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Credential | MD
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Telephone | 616-217-9591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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