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General NPI Number Information
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NPI Number | 1467332254
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Entity Type | Organization
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Legal Business Name | LEAP FOR JOY FOUNDATION, INC.
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 6671 LANG CT
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City | RIVERSIDE
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State | CA
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Zip | 92506-5652
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Country | US
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Telephone | 951-481-7772
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Fax |
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Provider Business Mailing Address
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Address Line | 6671 LANG CT
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City | RIVERSIDE
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State | CA
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Zip | 92506-5652
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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 | PRESIDENT AND CEO
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Name | SHENE LYNETTE BOWIE-HUSSEY
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Credential | DRPH, MPH
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Telephone | 951-481-7772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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