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General NPI Number Information
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NPI Number | 1851179014
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Entity Type | Organization
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Legal Business Name | REHYDRATE INC.
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Dates
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Enumeration Date | 09/19/2023
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 601 MARTIN LUTHER KING BLVD
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City | FLINT
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State | MI
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Zip | 48502-2003
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Country | US
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Telephone | 810-230-4836
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Fax | 810-500-2226
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Provider Business Mailing Address
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Address Line | 601 MARTIN LUTHER KING BLVD
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City | FLINT
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State | MI
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Zip | 48502-2003
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Country | US
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Telephone | 810-230-4836
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Fax | 810-500-2226
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | PETE MONISMITH
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Credential |
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Telephone | 724-610-1881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 364SH1100X
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Taxonomy Name | Holistic Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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