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General NPI Number Information
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NPI Number | 1215679311
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Entity Type | Organization
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Legal Business Name | OLA KA OLA INC
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Dates
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Enumeration Date | 04/09/2022
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 1417 COUNTRY CLUB DR
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City | LOS ALTOS
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State | CA
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Zip | 94024-5904
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Country | US
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Telephone | 650-665-0593
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Fax |
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Provider Business Mailing Address
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Address Line | 1417 COUNTRY CLUB DR
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City | LOS ALTOS
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State | CA
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Zip | 94024-5904
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND CEO
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Name | MRS. MICHAL LISSAUER
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Credential |
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Telephone | 650-665-0593
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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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