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General NPI Number Information
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NPI Number | 1639057813
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Entity Type | Individual
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Provider Name | MIRIAM SCHICK
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Gender | Female
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 30100 CROWN VALLEY PKWY STE 21
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-2041
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Country | US
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Telephone | 949-289-5494
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Fax |
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Provider Business Mailing Address
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Address Line | 30100 CROWN VALLEY PKWY STE 21
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-2041
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Country | US
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Telephone | 949-289-5494
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 332241246
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License Number State | CA
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