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General NPI Number Information
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NPI Number | 1588116727
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Entity Type | Organization
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Legal Business Name | HOLISTIC CENTER FOR NATURAL HEALING LLC
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Dates
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Enumeration Date | 11/03/2016
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Last Update Date | 11/03/2016
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Provider Practice Location Address
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Address Line | 86 BANBRIDGE PL
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City | PLEASANT HILL
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State | CA
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Zip | 94523-2536
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Country | US
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Telephone | 925-207-0966
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Fax |
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Provider Business Mailing Address
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Address Line | 86 BANBRIDGE PL
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City | PLEASANT HILL
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State | CA
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Zip | 94523-2536
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Country | US
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Telephone | 925-207-0966
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF NATURAL MEDICINE
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Name | MRS. OTILIA MAGDALENA TIUTIN
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Credential | DNM, PHD
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Telephone | 925-207-0966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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