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General NPI Number Information
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NPI Number | 1043034085
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Entity Type | Organization
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Legal Business Name | ENLOE HEALTH AND WELLNESS
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 1601 ESPLANADE STE 4
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City | CHICO
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State | CA
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Zip | 95926-3370
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Country | US
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Telephone | 530-332-9760
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Fax | 530-332-6003
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Provider Business Mailing Address
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Address Line | 1531 ESPLANADE
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City | CHICO
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State | CA
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Zip | 95926-3310
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Country | US
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Telephone | 530-332-7300
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Fax |
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Authorized Official
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Title or Position | DIRECTOR, PFS
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Name | CHRISTINE VENARD
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Credential |
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Telephone | 530-332-6331
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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