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General NPI Number Information
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NPI Number | 1518752229
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Entity Type | Organization
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Legal Business Name | NOVARI WELLNESS LLC
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Dates
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Enumeration Date | 04/12/2025
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 28532 RANCHO GRANDE
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-7421
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Country | US
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Telephone | 949-807-2336
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Fax |
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Provider Business Mailing Address
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Address Line | 23986 ALISO CREEK RD # 1001
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-3908
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Country | US
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Telephone | 949-807-2336
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Fax |
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Authorized Official
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Title or Position | OWNER, COO
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Name | MR. SHAWN LUCIO DIEHL
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Credential |
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Telephone | 949-378-9928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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