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General NPI Number Information
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NPI Number | 1245148030
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Entity Type | Organization
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Legal Business Name | CHARMONY HEALTH LLC
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 41663 DATE ST STE 101B
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City | MURRIETA
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State | CA
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Zip | 92562-7078
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Country | US
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Telephone | 951-440-4083
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 122
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City | FALLBROOK
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State | CA
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Zip | 92088-0122
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Country | US
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Telephone | 951-226-1846
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. AGAEZI SONYA
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Credential |
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Telephone | 951-440-4083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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