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General NPI Number Information
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NPI Number | 1316763170
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Entity Type | Organization
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Legal Business Name | PRETTY HEALTHY CONFIDENT, LLC
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 255 DR. MARTIN L. KING BLVD
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City | WHITE PLAINS
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State | NY
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Zip | 10601
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Country | US
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Telephone | 914-227-1925
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Fax |
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Provider Business Mailing Address
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Address Line | 255 DR. MARTIN L. KING BLVD
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City | WHITE PLAINS
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State | NY
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Zip | 10601
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Country | US
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Telephone | 914-227-1925
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. TOY JOAN GILLIAM
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Credential | HOLISTIC HEALTH PRAC
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Telephone | 914-227-1925
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SH1100X
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Taxonomy Name | Holistic Clinical Nurse Specialist
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License Number |
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License Number State |
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