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General NPI Number Information
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NPI Number | 1235755349
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Entity Type | Organization
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Legal Business Name | ABUNDANT LIFE HEALTH COACHES, LLC
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Dates
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Enumeration Date | 06/24/2020
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Last Update Date | 06/24/2020
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Provider Practice Location Address
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Address Line | 808 BERRY ST APT 237
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City | SAINT PAUL
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State | MN
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Zip | 55114-1474
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Country | US
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Telephone | 651-895-9507
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Fax | 651-699-5954
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Provider Business Mailing Address
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Address Line | 808 BERRY ST APT 237
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City | SAINT PAUL
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State | MN
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Zip | 55114-1474
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Country | US
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Telephone | 651-895-9507
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Fax | 651-699-5954
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Authorized Official
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Title or Position | OWNER AND OPERATOR
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Name | MISS BARBARA LOUIZA LEIGH MORGHON
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Credential | NBC-HWC
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Telephone | 651-895-9507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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