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General NPI Number Information
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NPI Number | 1255218186
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Entity Type | Organization
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Legal Business Name | LIFE AND NATURE WELLNESS INC
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 520 N BROOKHURST ST STE 204
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City | ANAHEIM
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State | CA
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Zip | 92801-5236
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Country | US
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Telephone | 714-443-1779
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Fax | 855-224-7041
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Provider Business Mailing Address
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Address Line | 1000 N ROANNE PL
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City | ANAHEIM
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State | CA
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Zip | 92801-3206
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Country | US
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Telephone | 949-839-3259
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SOO JIN CHO
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Credential | LAC
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Telephone | 949-839-3259
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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