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General NPI Number Information
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NPI Number | 1669262010
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Entity Type | Organization
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Legal Business Name | LIVINSPIRED WELLNESS, LLC
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 109 CINCINNATI AVE
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City | HURON
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State | OH
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Zip | 44839-1204
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Country | US
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Telephone | 419-202-6622
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Fax |
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Provider Business Mailing Address
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Address Line | 109 CINCINNATI AVE
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City | HURON
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State | OH
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Zip | 44839-1204
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Country | US
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Telephone | 419-202-6622
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Fax |
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Authorized Official
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Title or Position | OWNER/COACH
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Name | MS. LINDSAY R RIDER
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Credential | NBC-HWC, FNTP
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Telephone | 419-202-6622
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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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