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General NPI Number Information
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NPI Number | 1366041733
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Entity Type | Organization
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Legal Business Name | NP HEALTH & WELLNESS CENTER A PROFESSIONAL NURSING CORPORATION
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Dates
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Enumeration Date | 10/18/2020
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Last Update Date | 04/27/2021
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Provider Practice Location Address
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Address Line | 1429 E THOUSAND OAKS BLVD #108
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City | THOUSAND OAKS
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State | CA
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Zip | 91362
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Country | US
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Telephone | 805-719-1700
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Fax | 805-719-1711
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Provider Business Mailing Address
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Address Line | 1429 E THOUSAND OAKS BLVD #108
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City | THOUSAND OAKS
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State | CA
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Zip | 91362-2801
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Country | US
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Telephone | 805-719-1700
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Fax | 805-719-1711
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Authorized Official
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Title or Position | CE0 / EMPLOYEE OF CORPORATION
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Name | MS. LYNN COATES-LEISEN
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Credential | NP-C
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Telephone | 805-719-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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