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General NPI Number Information
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NPI Number | 1346104726
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Entity Type | Organization
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Legal Business Name | PRO HEALING A PROFESSIONAL MEDICAL CORPORATION
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 4675 WILLIS AVE UNIT 307
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-2606
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Country | US
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Telephone | 818-339-5056
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Fax |
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Provider Business Mailing Address
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Address Line | 4675 WILLIS AVE UNIT 307
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-2606
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Country | US
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Telephone | 818-339-5056
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | ELIZABETH CHILIAN
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Credential |
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Telephone | 818-620-5692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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