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General NPI Number Information
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NPI Number | 1073367553
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Entity Type | Organization
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Legal Business Name | STEPHANIE REYNOLDS, NATUROPATH, LLC
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Dates
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Enumeration Date | 04/12/2024
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Last Update Date | 04/12/2024
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Provider Practice Location Address
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Address Line | 791 E SCHOOL WAY
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City | REDWOOD VALLEY
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State | CA
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Zip | 95470
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Country | US
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Telephone | 707-972-8933
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Fax |
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Provider Business Mailing Address
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Address Line | 791 E SCHOOL WAY
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City | REDWOOD VALLEY
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State | CA
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Zip | 95470
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Country | US
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Telephone | 707-972-8933
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STEPHANIE ANN REYNOLDS
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Credential | NATUROPATH/DOULA
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Telephone | 707-972-8933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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