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General NPI Number Information
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NPI Number | 1609795616
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Entity Type | Organization
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Legal Business Name | BROKEN BUT NOT SHATTERED DIVORCE RECOVERY COACHING
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 580 LEADTREE LOOP
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City | BUDA
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State | TX
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Zip | 78610-2239
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Country | US
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Telephone | 512-855-8321
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Fax |
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Provider Business Mailing Address
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Address Line | 1320 CABELAS DR UNIT 964
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City | BUDA
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State | TX
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Zip | 78610-1840
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Country | US
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Telephone | 512-855-8321
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAROLINE HUGHES
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Credential |
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Telephone | 512-855-8321
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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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