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General NPI Number Information
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NPI Number | 1245107630
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Entity Type | Individual
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Provider Name | MICHELLE ESSICK
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Gender | Female
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 717 K ST
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City | SACRAMENTO
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State | CA
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Zip | 95814-3406
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Country | US
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Telephone | 916-417-3819
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Fax |
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Provider Business Mailing Address
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Address Line | 8105 AZTEC WAY
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City | ANTELOPE
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State | CA
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Zip | 95843-4418
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Country | US
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Telephone | 916-417-3819
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State | CA
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