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General NPI Number Information
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NPI Number | 1629251913
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Entity Type | Organization
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Legal Business Name | THE LIFESTYLE & EDUCATION INSTITUTE
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Dates
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Enumeration Date | 12/10/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2223 8TH AVE
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City | SACRAMENTO
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State | CA
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Zip | 95818-4316
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Country | US
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Telephone | 916-752-8983
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Fax |
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Provider Business Mailing Address
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Address Line | 2223 8TH AVE
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City | SACRAMENTO
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State | CA
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Zip | 95818-4316
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Country | US
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Telephone | 916-752-8983
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. DENNIS M HENNING
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Credential |
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Telephone | 916-752-8983
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State | CA
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