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General NPI Number Information
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NPI Number | 1760281604
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Entity Type | Organization
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Legal Business Name | ROOM FOR RESILIENCE
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 312 OXFORD AVE
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City | CLOVIS
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State | CA
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Zip | 93612-0923
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Country | US
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Telephone | 661-345-2195
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Fax |
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Provider Business Mailing Address
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Address Line | 312 OXFORD AVE
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City | CLOVIS
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State | CA
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Zip | 93612-0923
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Country | US
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Telephone | 661-345-2195
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Fax |
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Authorized Official
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Title or Position | COO
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Name | SHERYL LYNN BOE
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Credential |
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Telephone | 661-345-2195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive Medicine Physician
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License Number |
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License Number State |
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