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General NPI Number Information
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NPI Number | 1306566450
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Entity Type | Organization
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Legal Business Name | VERVE, LLC
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Dates
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Enumeration Date | 08/30/2022
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Last Update Date | 08/30/2022
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Provider Practice Location Address
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Address Line | 2906 N STATE ST STE 105
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City | JACKSON
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State | MS
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Zip | 39216-4231
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Country | US
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Telephone | 601-308-4220
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Fax |
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Provider Business Mailing Address
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Address Line | 2906 N STATE ST STE 105
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City | JACKSON
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State | MS
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Zip | 39216-4231
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Country | US
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Telephone | 601-308-4220
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. ASTRIA GOOLSBY
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Credential | DPP, LIFESTYLE COACH
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Telephone | 662-202-6361
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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 |
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