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General NPI Number Information
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NPI Number | 1982554523
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Entity Type | Organization
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Legal Business Name | INSTITUTE FOR AUTOIMMUNE RECOVERY
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 680 S CACHE ST STE 10010400
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City | JACKSON
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State | WY
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Zip | 83001-8694
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Country | US
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Telephone | 575-770-2029
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Fax | 866-686-3415
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Provider Business Mailing Address
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Address Line | 680 S CACHE ST STE 10010400
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City | JACKSON
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State | WY
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Zip | 83001-8694
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Country | US
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Telephone | 575-770-2029
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Fax | 866-686-3415
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | MICHELLE CHRISTINE COREY
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Credential | FMP
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Telephone | 575-770-3695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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