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NPI 1821896242

NPI 1821896242 : RIPPLE HEALTH LLC : SELLERSBURG, IN

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General NPI Number Information
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    NPI Number           |    1821896242
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    Entity Type          |    Organization 
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    Legal Business Name  |    RIPPLE HEALTH LLC 
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Dates
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    Enumeration Date     |    03/03/2025
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    Last Update Date     |    03/25/2025
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Provider Practice Location Address
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    Address Line         |    7000 AIRPORT DR STE 101 
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    City                 |    SELLERSBURG
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    State                |    IN
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    Zip                  |    47172-2033
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    Country              |    US
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    Telephone            |    603-854-1515
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7000 AIRPORT DR STE 101 
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    City                 |    SELLERSBURG
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    State                |    IN
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    Zip                  |    47172-2033
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MICAH  ADERS 
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    Credential           |    
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    Telephone            |    603-854-1515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207QG0300X
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    Taxonomy Name        |    Geriatric Medicine (Family Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    163WW0000X
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    Taxonomy Name        |    Wound Care Registered Nurse
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    License Number       |    
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    License Number State |    
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