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General NPI Number Information
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NPI Number | 1770391922
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Entity Type | Organization
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Legal Business Name | A OK VITALITY AND WELLNESS
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Dates
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Enumeration Date | 12/19/2024
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 601 W COUNTY LINE RD STE B
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City | CALIMESA
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State | CA
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Zip | 92320-1101
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Country | US
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Telephone | 909-228-0379
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Fax |
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Provider Business Mailing Address
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Address Line | 601 W COUNTY LINE RD STE B
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City | CALIMESA
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State | CA
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Zip | 92320-1101
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Country | US
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Telephone | 909-228-0379
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER/SECRETARY
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Name | ALAINA HELT
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Credential | NURSE PRACTITIONER
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Telephone | 909-228-0379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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