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General NPI Number Information
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NPI Number | 1427991496
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Entity Type | Organization
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Legal Business Name | SOVEREIGHDARITY LABORATION INC.
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Dates
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Enumeration Date | 04/13/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 18145 AMERICAN BEAUTY DR UNIT 102
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City | SANTA CLARITA
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State | CA
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Zip | 91387-3080
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Country | US
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Telephone | 818-903-4015
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Fax |
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Provider Business Mailing Address
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Address Line | 18017 CHATSWORTH ST # 255
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City | GRANADA HILLS
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State | CA
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Zip | 91344-5608
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Country | US
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Telephone | 818-903-4015
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Fax |
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Authorized Official
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Title or Position | DOULA
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Name | MS. LATRICE MATTHEWS
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Credential |
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Telephone | 818-903-4015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175M00000X
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Taxonomy Name | Lay Midwife
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 174H00000X
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Taxonomy Name | Health Educator
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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 | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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Taxonomy #5
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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 #6
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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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