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General NPI Number Information
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NPI Number | 1720972250
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Entity Type | Organization
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Legal Business Name | UPLIFT
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 1660 HOTEL CIR N STE 450
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City | SAN DIEGO
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State | CA
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Zip | 92108-2806
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Country | US
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Telephone | 619-234-4504
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Fax |
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Provider Business Mailing Address
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Address Line | 2801 B ST # 26
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City | SAN DIEGO
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State | CA
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Zip | 92102-2208
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Country | US
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Telephone | 619-234-4504
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Fax |
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Authorized Official
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Title or Position | BOARD PRESIDENT
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Name | MONICA BALL
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Credential |
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Telephone | 619-708-3512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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