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General NPI Number Information
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NPI Number | 1104705979
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Entity Type | Organization
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Legal Business Name | EMPOWER WELLNESS CORPS CORPORATION
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 14994 QUIVERO RD
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City | APPLE VALLEY
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State | CA
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Zip | 92307-3744
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Country | US
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Telephone | 760-508-2770
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Fax | 909-494-7856
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Provider Business Mailing Address
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Address Line | 14994 QUIVERO RD
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City | APPLE VALLEY
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State | CA
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Zip | 92307-3744
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Country | US
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Telephone | 760-508-2770
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Fax | 909-494-7856
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Authorized Official
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Title or Position | CEO
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Name | ALYSSA AMBER SKINNER
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Credential | RD,RDN
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Telephone | 760-508-2770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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