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General NPI Number Information
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NPI Number | 1396984266
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Entity Type | Organization
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Legal Business Name | CAYENNE WELLNESS CENTER AND CHILDREN'S FOUNDATION
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Dates
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Enumeration Date | 02/16/2009
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Last Update Date | 02/16/2009
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Provider Practice Location Address
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Address Line | 208 S LOUISE ST
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City | GLENDALE
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State | CA
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Zip | 91205-1637
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Country | US
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Telephone | 818-840-9484
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Fax | 818-840-9485
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Provider Business Mailing Address
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Address Line | PO BOX 3204
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-0204
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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 | EXECUTIVE DIRECTOR
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Name | DR. CAROLYN ROWLEY
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Credential | PH.D.
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Telephone | 818-840-9484
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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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