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General NPI Number Information
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NPI Number | 1518507599
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Entity Type | Organization
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Legal Business Name | PURE NATUROPATHIC HEALTH, INC
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Dates
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Enumeration Date | 01/08/2020
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Last Update Date | 03/06/2020
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Provider Practice Location Address
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Address Line | 552 S PASEO DOROTEA STE 5
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City | PALM SPRINGS
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State | CA
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Zip | 92264-1437
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Country | US
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Telephone | 760-322-2520
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Fax |
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Provider Business Mailing Address
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Address Line | 552 S PASEO DOROTEA STE 5
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City | PALM SPRINGS
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State | CA
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Zip | 92264-1437
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Country | US
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Telephone | 760-322-2520
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Fax |
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Authorized Official
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Title or Position | OWNER, AUTHORIZED OFFICIAL
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Name | COREY KING
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Credential |
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Telephone | 760-322-2520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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