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General NPI Number Information
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NPI Number | 1205636644
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Entity Type | Individual
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Provider Name | CHAUNTOYIA JANAE LAVETTE EDWARDS NBHWC, CPSS
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Gender | Female
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Dates
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Enumeration Date | 03/14/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 195 RIVER GROVE WAY
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2137
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Country | US
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Telephone | 919-696-0448
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Fax |
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Provider Business Mailing Address
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Address Line | 195 RIVER GROVE WAY APT 603
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-2179
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Country | US
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Telephone | 919-696-0448
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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 | A-3790214
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License Number State | FL
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Taxonomy #2
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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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