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General NPI Number Information
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NPI Number | 1538005269
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Entity Type | Organization
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Legal Business Name | VIBRANT FAMILY WELLNESS LLC
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 750 TWIN CREEKS XING APT A
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City | CENTRAL POINT
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State | OR
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Zip | 97502-8656
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Country | US
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Telephone | 541-778-6321
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Fax | 541-423-8223
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Provider Business Mailing Address
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Address Line | 12345 TABLE ROCK RD
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City | CENTRAL POINT
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State | OR
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Zip | 97502-9375
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Country | US
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Telephone | 541-778-6173
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KATIE N GUIDOTTI
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Credential | ND
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Telephone | 541-778-6173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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