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General NPI Number Information
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NPI Number | 1295254472
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Entity Type | Organization
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Legal Business Name | HEALTHY LIFESTYLES CONSULTANTS LLC
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Dates
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Enumeration Date | 09/19/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3105 S 4TH AVE
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City | YUMA
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State | AZ
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Zip | 85364-8122
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Country | US
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Telephone | 702-481-8168
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Fax |
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Provider Business Mailing Address
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Address Line | 3128 S BRAND LEE WAY
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City | YUMA
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State | AZ
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Zip | 85365-5110
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Country | US
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Telephone | 702-481-8168
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Fax |
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Authorized Official
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Title or Position | OWNER/ THERAPIST
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Name | JAMES GALAVIZ
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Credential | CMA LCMT
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Telephone | 702-481-8168
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State | AZ
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