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General NPI Number Information
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NPI Number | 1083531503
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Entity Type | Organization
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Legal Business Name | IN HER LEGACY
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 500 N BRAND BLVD STE 890
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City | GLENDALE
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State | CA
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Zip | 91203-3398
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Country | US
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Telephone | 408-883-0292
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1256
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City | NEWARK
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State | CA
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Zip | 94560-6256
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Country | US
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Telephone | 408-883-0292
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MONIQUE WRIGHT-GORY
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Credential |
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Telephone | 408-883-0292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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