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NPI 1346963881

NPI 1346963881 : VAYANA ORGANICS LLC : PENNSAUKEN, NJ

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General NPI Number Information
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    NPI Number           |    1346963881
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    Entity Type          |    Organization 
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    Legal Business Name  |    VAYANA ORGANICS LLC 
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Dates
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    Enumeration Date     |    09/20/2022
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    Last Update Date     |    09/20/2022
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Provider Practice Location Address
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    Address Line         |    6630 S CRESCENT BLVD UNIT B 
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    City                 |    PENNSAUKEN
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    State                |    NJ
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    Zip                  |    08109-1403
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    Country              |    US
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    Telephone            |    856-789-1100
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 641 
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    City                 |    SICKLERVILLE
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    State                |    NJ
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    Zip                  |    08081-0641
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    Country              |    US
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    Telephone            |    856-789-1100
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MANAGER
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    Name                 |     VELVET V HOWELL 
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    Credential           |    
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    Telephone            |    856-789-1100
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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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Taxonomy #2
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    Taxonomy Code        |    175L00000X
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    Taxonomy Name        |    Homeopath
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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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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