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General NPI Number Information
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NPI Number | 1629951470
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Entity Type | Organization
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Legal Business Name | SO FIT
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 4428 W SLAUSON AVE STE 4
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City | LOS ANGELES
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State | CA
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Zip | 90043
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Country | US
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Telephone | 310-922-6332
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Fax |
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Provider Business Mailing Address
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Address Line | 8939 S SEPULVEDA BLVD STE 110-782
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City | LOS ANGELES
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State | CA
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Zip | 90045-3631
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Country | US
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Telephone | 310-922-6332
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Fax |
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Authorized Official
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Title or Position | WELLNESS COACH/ HEALTH EDUCATOR
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Name | LORETTA A. MCDONALD
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Credential |
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Telephone | 310-922-6332
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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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