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General NPI Number Information
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NPI Number | 1568857274
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Entity Type | Organization
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Legal Business Name | NURTURING YOU WOMEN'S HEALTH & WELLNESS, INC.
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Dates
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Enumeration Date | 03/30/2015
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Last Update Date | 09/17/2018
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Provider Practice Location Address
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Address Line | 1810 FULLERTON AVE SUITE 203
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City | CORONA
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State | CA
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Zip | 92881-3103
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Country | US
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Telephone | 888-475-3129
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Fax |
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Provider Business Mailing Address
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Address Line | 1810 FULLERTON AVE SUITE 203
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City | CORONA
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State | CA
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Zip | 92881-3103
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Country | US
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Telephone | 888-475-3129
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LEITA JACQUELINE HARRIS
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Credential | MD
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Telephone | 909-241-8829
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | G064281
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License Number State | CA
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