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General NPI Number Information
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NPI Number | 1477328144
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Entity Type | Organization
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Legal Business Name | 90 DAY HEALTH & LIFE COACH LLC
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Dates
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Enumeration Date | 11/22/2023
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Last Update Date | 11/22/2023
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Provider Practice Location Address
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Address Line | 11302 MEMPHIS ARLINGTON RD
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City | ARLINGTON
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State | TN
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Zip | 38002-9315
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Country | US
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Telephone | 901-610-9266
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Fax |
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Provider Business Mailing Address
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Address Line | 11302 MEMPHIS ARLINGTON RD
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City | ARLINGTON
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State | TN
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Zip | 38002-9315
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Country | US
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Telephone | 901-610-9266
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ALISA ANA SANE
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Credential |
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Telephone | 901-610-9266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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