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General NPI Number Information
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NPI Number | 1497607964
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Entity Type | Organization
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Legal Business Name | NOURISH CARE INC
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 204 E CHEVY CHASE DR STE 2
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City | GLENDALE
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State | CA
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Zip | 91205-3181
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Country | US
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Telephone | 747-277-1111
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Fax | 747-277-1112
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Provider Business Mailing Address
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Address Line | 204 E CHEVY CHASE DR STE 2
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City | GLENDALE
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State | CA
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Zip | 91205-3181
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Country | US
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Telephone | 747-277-1111
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Fax | 747-277-1112
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Authorized Official
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Title or Position | CEO
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Name | MARIBETH MCKINNEY
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Credential | FNP
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Telephone | 747-277-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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