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General NPI Number Information
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NPI Number | 1508725227
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Entity Type | Organization
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Legal Business Name | WELLNESS REIMAGINED, LLC
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 928 TROVITA DR
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City | CORONA
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State | CA
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Zip | 92881-8713
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Country | US
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Telephone | 714-445-9690
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Fax |
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Provider Business Mailing Address
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Address Line | 2837 KELLOGG AVE
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City | CORONA
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State | CA
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Zip | 92881-3524
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Country | US
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Telephone | 951-818-5097
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | CHRISTY ANNETTE COTNER
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Credential | DNP
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Telephone | 714-455-9690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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