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NPI 1104735174

NPI 1104735174 : PULSE WELLNESS A NURSING PROFESSIONAL CORPORATION : FONTANA, CA

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General NPI Number Information
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    NPI Number           |    1104735174
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    Entity Type          |    Organization 
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    Legal Business Name  |    PULSE WELLNESS A NURSING PROFESSIONAL CORPORATION 
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Dates
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    Enumeration Date     |    09/03/2026
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    Last Update Date     |    09/03/2026
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Provider Practice Location Address
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    Address Line         |    15599 ALLSPICE LN 
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    City                 |    FONTANA
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    State                |    CA
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    Zip                  |    92336-3587
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    Country              |    US
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    Telephone            |    909-561-4922
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    Fax                  |    909-265-9506
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Provider Business Mailing Address
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    Address Line         |    4000 MACARTHUR BLVD SUITE 600 EAST TOWER
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    City                 |    NEWPORT BEACH
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    State                |    CA
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    Zip                  |    92660
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    Country              |    US
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    Telephone            |    909-561-4922
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    Fax                  |    909-265-9506
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Authorized Official
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    Title or Position    |    CHIEF EXECUTIVE OFFICER
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    Name                 |    DR. ALAN TOMONARI AKITA 
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    Credential           |    DNP, APRN, FNP-BC
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    Telephone            |    909-561-4922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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