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General NPI Number Information
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NPI Number | 1467209320
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Entity Type | Organization
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Legal Business Name | AHARA CORPORATION
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Dates
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Enumeration Date | 04/30/2024
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 1901 AVENUE OF THE STARS STE 931
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City | LOS ANGELES
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State | CA
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Zip | 90067-6011
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Country | US
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Telephone | 805-405-2240
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Fax |
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Provider Business Mailing Address
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Address Line | 1901 AVENUE OF THE STARS STE 931
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City | LOS ANGELES
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State | CA
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Zip | 90067-6011
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Country | US
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Telephone | 805-405-2240
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Fax |
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Authorized Official
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Title or Position | ACTING CHIEF FINANCIAL OFFICER
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Name | MICHELLE WALKER
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Credential |
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Telephone | 805-405-2240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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