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General NPI Number Information
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NPI Number | 1811826290
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Entity Type | Organization
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Legal Business Name | INNER LIGHT WELLNESS LLC
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 1922 EL CAMINO REAL
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City | REDWOOD CITY
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State | CA
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Zip | 94063-2113
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Country | US
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Telephone | 650-564-4325
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Fax |
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Provider Business Mailing Address
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Address Line | 1922 EL CAMINO REAL
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City | REDWOOD CITY
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State | CA
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Zip | 94063-2113
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Country | US
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Telephone | 650-564-4325
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | NATASHA BERNESS
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Credential | CHP, CHC
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Telephone | 323-365-8304
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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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