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General NPI Number Information
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NPI Number | 1265302426
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Entity Type | Organization
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Legal Business Name | YOUPHORIA HEALTH, INC.
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 1930 W MORSE AVE
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City | CHICAGO
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State | IL
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Zip | 60626-3112
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Country | US
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Telephone | 917-721-3024
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Fax | 773-388-0388
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Provider Business Mailing Address
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Address Line | 1930 W MORSE AVE
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City | CHICAGO
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State | IL
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Zip | 60626-3112
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Country | US
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Telephone | 917-721-3024
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Fax | 773-388-0388
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Authorized Official
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Title or Position | OWNER
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Name | AIDEN NICHOLSON
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Credential | APN, CNM
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Telephone | 917-721-3024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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