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General NPI Number Information
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NPI Number | 1649125626
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Entity Type | Organization
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Legal Business Name | HEALTHFIRST PLYMOUTH LLC
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Dates
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Enumeration Date | 03/04/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 315 N LA GRANGE RD
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City | LA GRANGE PARK
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State | IL
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Zip | 60526-1903
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Country | US
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Telephone | 904-607-2208
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Fax |
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Provider Business Mailing Address
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Address Line | 2422 W BERTEAU AVE
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City | CHICAGO
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State | IL
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Zip | 60618-2804
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Country | US
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Telephone | 904-607-2208
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DALLAS SCHEPERS
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Credential |
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Telephone | 904-607-2208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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