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General NPI Number Information
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NPI Number | 1235015793
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Entity Type | Organization
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Legal Business Name | OPERATION SCHOLARS
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 4011 SHORELAKE CT
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City | STOCKTON
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State | CA
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Zip | 95219-2036
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Country | US
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Telephone | 209-242-1189
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Fax |
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Provider Business Mailing Address
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Address Line | 4011 SHORELAKE CT
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City | STOCKTON
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State | CA
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Zip | 95219-2036
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Country | US
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Telephone | 209-242-1189
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Fax |
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Authorized Official
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Title or Position | FOUNDER/EXECUTIVE DIRECTOR
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Name | DE' MARIEYA NELSON
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Credential | CWC
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Telephone | 209-242-1189
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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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