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General NPI Number Information
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NPI Number | 1528937745
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Entity Type | Organization
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Legal Business Name | ESSENTIALLY LIFE LLC
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 121 4TH ST NE
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City | STAPLES
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State | MN
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Zip | 56479-2545
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Country | US
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Telephone | 218-895-8102
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 152
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City | STAPLES
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State | MN
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Zip | 56479-0152
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Country | US
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Telephone | 218-895-8102
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAMELA RAPP
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Credential | LMT, CBTP
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Telephone | 218-895-8102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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