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NPI 1376471995

NPI 1376471995 : THE CHAUN COLLECTIVE : RIVERSIDE, CA

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General NPI Number Information
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    NPI Number           |    1376471995
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE CHAUN COLLECTIVE 
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Dates
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    Enumeration Date     |    05/12/2026
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    Last Update Date     |    05/12/2026
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Provider Practice Location Address
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    Address Line         |    4826 GREGORY RD 
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    City                 |    RIVERSIDE
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    State                |    CA
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    Zip                  |    92501-3971
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    Country              |    US
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    Telephone            |    407-496-7768
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4826 GREGORY RD 
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    City                 |    RIVERSIDE
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    State                |    CA
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    Zip                  |    92501-3971
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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    |    OWNER/CEO
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    Name                 |     CHANTEL R RUNNELS 
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    Credential           |    
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    Telephone            |    407-496-7768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    374J00000X
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    Taxonomy Name        |    Doula
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    License Number       |    
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    License Number State |    
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