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General NPI Number Information
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NPI Number | 1780428961
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Entity Type | Organization
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Legal Business Name | REDEEMED HEALTHCARE, LLC
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Dates
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Enumeration Date | 06/21/2024
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 20325 N 51ST AVE STE 154
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City | GLENDALE
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State | AZ
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Zip | 85308-4622
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Country | US
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Telephone | 623-363-5480
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Fax |
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Provider Business Mailing Address
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Address Line | 5115 N DYSART RD STE 202 #183
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City | LITCHFIELD PARL
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State | AZ
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Zip | 85340
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Country | US
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Telephone | 623-363-5480
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL RODRIGUEZ
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Credential | DO
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Telephone | 623-363-5480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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