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General NPI Number Information
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NPI Number | 1376229872
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Entity Type | Organization
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Legal Business Name | NURTURING CARE LLC
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Dates
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Enumeration Date | 06/27/2023
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 322 CULVER BLVD # 1151
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City | PLAYA DEL REY
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State | CA
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Zip | 90293-7704
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Country | US
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Telephone | 714-341-9118
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Fax |
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Provider Business Mailing Address
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Address Line | 13736 STOCKBROOK RD
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City | MORENO VALLEY
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State | CA
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Zip | 92553-4872
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Country | US
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Telephone | 714-341-9118
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DIJON WASHINGTON
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Credential | MS
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Telephone | 714-341-9118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 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 #3
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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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 | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number |
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License Number State |
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