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General NPI Number Information
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NPI Number | 1104790484
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Entity Type | Organization
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Legal Business Name | NEW CREATION HEALTH
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Dates
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Enumeration Date | 10/01/2025
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 31649 LEATHER WOOD DR
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City | WINCHESTER
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State | CA
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Zip | 92596-9656
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Country | US
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Telephone | 951-635-6161
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Fax |
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Provider Business Mailing Address
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Address Line | 30724 BENTON RD STE C302
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City | WINCHESTER
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State | CA
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Zip | 92596-8470
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Country | US
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Telephone | 951-635-6161
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. LYZETTE CHRISTINE SANCHEZ
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Credential | MSN, FNP-C
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Telephone | 951-635-6161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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