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General NPI Number Information
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NPI Number | 1770424764
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Entity Type | Organization
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Legal Business Name | VASONA HILL FOUNDATION
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 13140 LUMEN WAY
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City | SAN DIEGO
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State | CA
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Zip | 92130-2984
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Country | US
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Telephone | 702-871-8535
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Fax |
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Provider Business Mailing Address
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Address Line | 1718 CAPITOL AVE
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City | CHEYENNE
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State | WY
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Zip | 82001-4528
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | NATALIYA KOMASYUK
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Credential |
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Telephone | 415-837-8608
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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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 | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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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 | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number |
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License Number State |
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