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General NPI Number Information
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NPI Number | 1952969172
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Entity Type | Organization
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Legal Business Name | INDISPENSABLE HEALTH
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Dates
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Enumeration Date | 06/03/2019
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 114 E. MICHIGAN AVE SUITE 2
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City | GRASS LAKE
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State | MI
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Zip | 49240
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Country | US
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Telephone | 668-964-2638
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Fax | 734-622-8160
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Provider Business Mailing Address
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Address Line | PO BOX 842 114 E. MICHIGAN AVE, SUITE 2
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City | GRASS LAKE
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State | MI
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Zip | 49240-0842
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Country | US
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Telephone | 668-964-2638
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Fax | 734-622-8160
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Authorized Official
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Title or Position | CEO
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Name | TODD R. RAEHTZ
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Credential |
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Telephone | 866-964-2638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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