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General NPI Number Information
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NPI Number | 1972097707
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Entity Type | Organization
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Legal Business Name | EQUITAS HEALTH, INC
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Dates
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Enumeration Date | 06/15/2018
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 750 E LONG ST
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City | COLUMBUS
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State | OH
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Zip | 43203-1846
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Country | US
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Telephone | 614-340-6700
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Fax | 833-222-8164
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Provider Business Mailing Address
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Address Line | 1105 SCHROCK RD STE 400
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City | COLUMBUS
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State | OH
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Zip | 43229-1174
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Country | US
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Telephone | 833-378-4827
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Fax | 833-222-8164
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE CYCLE
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Name | KAREN SHEPHERD
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Credential |
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Telephone | 833-378-4827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult 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 | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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