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General NPI Number Information
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NPI Number | 1386533818
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Entity Type | Organization
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Legal Business Name | LIFE INTEGRATED SERVICES
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 9245 LAGUNA SPRINGS DR STE 200
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City | ELK GROVE
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State | CA
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Zip | 95758-7991
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Country | US
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Telephone | 510-978-5807
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Fax |
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Provider Business Mailing Address
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Address Line | 9245 LAGUNA SPRINGS DR STE 200
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City | ELK GROVE
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State | CA
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Zip | 95758-7991
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Country | US
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Telephone | 510-978-5807
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | NORITHA EUGENIA ALLEN
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Credential | LVN
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Telephone | 510-978-5807
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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