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General NPI Number Information
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NPI Number | 1356222020
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Entity Type | Organization
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Legal Business Name | A.T. STILL UNIVERSITY - COLLEGE FOR HEALTHY COMMUNITIES
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 1075 E BETTERAVIA RD STE 201
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City | SANTA MARIA
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State | CA
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Zip | 93454-7023
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Country | US
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Telephone | 805-621-7651
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Fax |
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Provider Business Mailing Address
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Address Line | 1075 E BETTERAVIA RD STE 201
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City | SANTA MARIA
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State | CA
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Zip | 93454-7023
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | STUDENT IN AN ORGANIZED HEALTH CARE
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Name | SOFIA FERNANDEZ
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Credential |
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Telephone | 805-921-5796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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