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General NPI Number Information
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NPI Number | 1447162425
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Entity Type | Organization
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Legal Business Name | IH PHYSICIAN SERVICES 2, PC
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Dates
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Enumeration Date | 09/22/2026
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Last Update Date | 09/22/2026
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Provider Practice Location Address
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Address Line | 3850 LINDEN AVE SUITE A1
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City | WHITE BEAR LAKE
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State | MN
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Zip | 55110-4625
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Country | US
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Telephone | 763-326-2996
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Fax |
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Provider Business Mailing Address
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Address Line | 655 BRAWLEY SCHOOL RD STE 200
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City | MOORESVILLE
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State | NC
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Zip | 28117-9601
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Country | US
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Telephone | 704-664-2876
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Fax |
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Authorized Official
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Title or Position | VP OF REGULATORY COUNSEL
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Name | JENNIFER TYLER
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Credential | N/A
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Telephone | 678-449-0459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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