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General NPI Number Information
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NPI Number | 1124908926
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Entity Type | Organization
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Legal Business Name | LIFEWISE HEALTH, PLLC
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 7143 S VERSAILLES WAY
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City | AURORA
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State | CO
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Zip | 80016-2386
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Country | US
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Telephone | 714-878-4515
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Fax |
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Provider Business Mailing Address
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Address Line | 7143 S VERSAILLES WAY
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City | AURORA
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State | CO
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Zip | 80016-2386
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Country | US
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Telephone | 714-878-4515
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST/OWNER
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Name | DR. ANGELIQUE ANTOINAE HILL
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Credential | OTD, OTR/L
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Telephone | 714-878-4515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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