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General NPI Number Information
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NPI Number | 1184576480
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Entity Type | Individual
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Provider Name | SHEILA BIVENS
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Gender | Female
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 3101 STAFFORD WAY
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City | MODESTO
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State | CA
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Zip | 95350-1081
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Country | US
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Telephone | 209-534-9618
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Fax |
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Provider Business Mailing Address
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Address Line | 3101 STAFFORD WAY
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City | MODESTO
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State | CA
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Zip | 95350-1081
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Country | US
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Telephone | 209-534-9618
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 335G00000X
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Taxonomy Name | Medical Foods Supplier
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License Number |
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | CA
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