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General NPI Number Information
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NPI Number | 1578244083
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Entity Type | Organization
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Legal Business Name | LIFE AND STRENGTH
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Dates
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Enumeration Date | 07/27/2023
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 3130 BONITA RD STE 202
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City | CHULA VISTA
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State | CA
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Zip | 91910-3263
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Country | US
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Telephone | 619-671-0036
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Fax |
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Provider Business Mailing Address
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Address Line | 9931 VIA DE LA AMISTAD
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City | SAN DIEGO
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State | CA
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Zip | 92154-7208
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | LORENA GUILLEN
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Credential |
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Telephone | 619-666-1680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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