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General NPI Number Information
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NPI Number | 1164326393
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Entity Type | Organization
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Legal Business Name | THRIVEPATH WELLNESS NURSING CORPORATION
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 9415 CULVER BLVD
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City | CULVER CITY
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State | CA
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Zip | 90232-2616
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Country | US
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Telephone | 424-341-9720
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Fax | 424-326-8679
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Provider Business Mailing Address
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Address Line | 9415 CULVER BLVD # 64
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City | CULVER CITY
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State | CA
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Zip | 90232-2616
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Country | US
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Telephone | 424-341-9720
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Fax | 424-326-8679
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Authorized Official
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Title or Position | OWNER
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Name | JOSSEPHINE MUSISI
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Credential |
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Telephone | 424-341-9720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State | NULL
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