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General NPI Number Information
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NPI Number | 1437835741
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Entity Type | Individual
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Provider Name | MEAREDEY TAUCH
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Gender | Female
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Dates
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Enumeration Date | 06/22/2023
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Last Update Date | 06/22/2023
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Provider Practice Location Address
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Address Line | 12812 VALLEY VIEW ST STE 17
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City | GARDEN GROVE
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State | CA
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Zip | 92845-2512
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Country | US
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Telephone | 714-785-4544
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Fax |
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Provider Business Mailing Address
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Address Line | 2929 WESTMINSTER AVE UNIT 3244
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City | SEAL BEACH
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State | CA
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Zip | 90740-9150
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Country | US
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Telephone | 714-785-4544
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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