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General NPI Number Information
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NPI Number | 1396668216
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Entity Type | Organization
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Legal Business Name | SHARE OUR SELVES CORPORATION
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Dates
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Enumeration Date | 07/30/2026
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Last Update Date | 07/30/2026
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Provider Practice Location Address
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Address Line | 1801 S POPLAR ST
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City | SANTA ANA
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State | CA
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Zip | 92704-4321
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Country | US
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Telephone | 949-270-2100
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Fax | 949-650-4458
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Provider Business Mailing Address
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Address Line | 20151 SW BIRCH ST STE 100
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-1794
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Country | US
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Telephone | 949-270-2100
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Fax | 949-650-4458
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Authorized Official
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Title or Position | CHIEF COMPLIANCE & ADMIN OFFICER
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Name | NICOLE MACHADO
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Credential |
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Telephone | 949-270-2135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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 | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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