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General NPI Number Information
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NPI Number | 1164216487
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Entity Type | Organization
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Legal Business Name | MAKE IT HAPPEN CONGLOMERATE CORP
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 2081 W MAIN ST STE 103
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City | BARSTOW
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State | CA
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Zip | 92311
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Country | US
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Telephone | 442-295-9096
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 347
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City | BARSTOW
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State | CA
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Zip | 92312
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Country | US
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Telephone | 760-979-7938
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | CHARMILL DORMETRA VEGA
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Credential | LMFT
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Telephone | 760-979-7938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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