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General NPI Number Information
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NPI Number | 1780320457
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Entity Type | Organization
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Legal Business Name | PERSONAL HEALTH DESIGN HEALTH COACHING
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Dates
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Enumeration Date | 05/06/2022
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Last Update Date | 05/06/2022
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Provider Practice Location Address
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Address Line | 2300 STANWELL DR STE A
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City | CONCORD
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State | CA
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Zip | 94520-4841
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Country | US
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Telephone | 510-224-0744
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 STANWELL DR STE A
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City | CONCORD
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State | CA
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Zip | 94520-4841
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Country | US
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Telephone | 510-224-0744
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Fax |
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Authorized Official
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Title or Position | SR. HEALTH COACH
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Name | MAYA PARKER
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Credential |
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Telephone | 510-223-0744
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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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