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General NPI Number Information
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NPI Number | 1174481287
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Entity Type | Organization
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Legal Business Name | COSMIC ABUNDANCE ENTERPRISE LLC
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 1023 WOODBERRY DR
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City | HEPHZIBAH
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State | GA
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Zip | 30815-4479
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Country | US
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Telephone | 404-913-0912
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Fax |
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Provider Business Mailing Address
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Address Line | 246 ROBERT C DANIEL JR PKWY
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City | AUGUSTA
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State | GA
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Zip | 30909-0803
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Country | US
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Telephone | 404-913-0912
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Fax |
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Authorized Official
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Title or Position | HOLISTIC HEALTH AND WELLNESS COACH
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Name | MS. ALICIA LAKEYA CUMMINGS
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Credential | MS, CBCP, CECP, CAMS
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Telephone | 404-913-0912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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