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General NPI Number Information
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NPI Number | 1568354116
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Entity Type | Organization
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Legal Business Name | HEALTHLINC, INC
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 102 E STATE ST
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City | MOROCCO
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State | IN
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Zip | 47963-7500
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Country | US
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Telephone | 574-772-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 2401 VALLEY DR
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City | VALPARAISO
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State | IN
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Zip | 46383-2520
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Country | US
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Telephone | 219-506-7004
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Fax | 219-506-7003
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Authorized Official
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Title or Position | CEO
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Name | MELISSA MITCHELL
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Credential |
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Telephone | 219-465-9503
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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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