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General NPI Number Information
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NPI Number | 1114867249
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Entity Type | Organization
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Legal Business Name | NOVA SORELLA SORORITY INC.
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 3318 CALIFORNIA AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93304-1074
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Country | US
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Telephone | 314-936-1806
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Fax |
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Provider Business Mailing Address
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Address Line | 7456 HALPIN DR
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City | SAINT LOUIS
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State | MO
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Zip | 63135-3426
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Country | US
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Telephone | 314-936-1806
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. PAULINE JONES
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Credential | MBA
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Telephone | 314-936-1806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 261QP0904X
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Taxonomy Name | Federal Public Health 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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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