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General NPI Number Information
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NPI Number | 1811663685
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Entity Type | Organization
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Legal Business Name | ARPEGGIO WELLNESS COACHING
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Dates
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Enumeration Date | 08/20/2021
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Last Update Date | 08/20/2021
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Provider Practice Location Address
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Address Line | 222 E WISCONSIN AVE STE 4
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City | LAKE FOREST
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State | IL
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Zip | 60045-1701
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Country | US
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Telephone | 224-475-9838
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Fax |
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Provider Business Mailing Address
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Address Line | 38847 N LEWIS AVE
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City | BEACH PARK
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State | IL
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Zip | 60099-3311
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Country | US
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Telephone | 224-475-9838
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Fax |
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Authorized Official
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Title or Position | OWNER/CERTIFIED WELLNESS COACH
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Name | TAMATHA VAUGHN
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Credential | CWC
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Telephone | 224-475-9838
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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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