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General NPI Number Information
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NPI Number | 1346107141
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Entity Type | Organization
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Legal Business Name | NP LIFESTYLE CURE LLC
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 9640 CENTER AVE BLDG. 120 SUITE 205
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-5809
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Country | US
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Telephone | 909-279-5996
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Fax | 844-533-0781
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Provider Business Mailing Address
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Address Line | 9640 CENTER AVE STE 120 SUITE 205
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-5809
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Country | US
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Telephone | 909-279-5996
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Fax | 844-533-0781
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. DONIELLE GREEN
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Credential | MD
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Telephone | 909-279-5996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy 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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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