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NPI 1790604031

NPI 1790604031 : ALCHEMY IMPACT FOUNDATION : NORWALK, CA

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General NPI Number Information
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    NPI Number           |    1790604031
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALCHEMY IMPACT FOUNDATION 
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Dates
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    Enumeration Date     |    07/13/2026
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    Last Update Date     |    07/13/2026
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Provider Practice Location Address
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    Address Line         |    12916 SILVERBOW AVE 
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    City                 |    NORWALK
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    State                |    CA
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    Zip                  |    90650-3233
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    Country              |    US
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    Telephone            |    562-667-7155
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    Fax                  |    562-667-7155
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Provider Business Mailing Address
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    Address Line         |    12916 SILVERBOW AVE 
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    City                 |    NORWALK
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    State                |    CA
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    Zip                  |    90650-3233
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    Country              |    US
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    Telephone            |    562-667-7155
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    Fax                  |    562-667-7155
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     ANDREW JOSEPH ZARAGOZA JR.
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    Credential           |    
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    Telephone            |    562-667-7155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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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        |    208100000X
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    Taxonomy Name        |    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        |    2084P0800X
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    Taxonomy Name        |    Psychiatry 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        |    225700000X
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    Taxonomy Name        |    Massage Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #7
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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Taxonomy #8
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    Taxonomy Code        |    3747P1801X
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    Taxonomy Name        |    Personal Care Attendant
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    License Number       |    
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    License Number State |    
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