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NPI 1174457386

NPI 1174457386 : ELLI REILANDER ND : LA QUINTA, CA

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General NPI Number Information
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    NPI Number           |    1174457386
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    Entity Type          |    Individual 
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    Provider Name        |    ELLI REILANDER ND
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    Gender               |     
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Dates
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    Enumeration Date     |    06/11/2026
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    Last Update Date     |    06/11/2026
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Provider Practice Location Address
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    Address Line         |    78097 COBALT CT 
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    City                 |    LA QUINTA
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    State                |    CA
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    Zip                  |    92253-3821
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    Country              |    US
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    Telephone            |    236-844-2206
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    Fax                  |    236-912-2023
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Provider Business Mailing Address
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    Address Line         |    784 ALGET AVE 
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    City                 |    MILL BAY
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    State                |    BC
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    Zip                  |    V8H1B1
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    Country              |    CA
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    175F00000X
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    Taxonomy Name        |    Naturopath
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    License Number       |    ND1632
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    License Number State |    CA
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