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General NPI Number Information
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NPI Number | 1861920720
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Entity Type | Organization
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Legal Business Name | NATURAL HEALTH
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Dates
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Enumeration Date | 05/23/2017
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Last Update Date | 09/19/2019
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Provider Practice Location Address
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Address Line | 112 E OLIVE AVE STE F
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City | REDLANDS
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State | CA
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Zip | 92373-5281
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Country | US
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Telephone | 909-810-0858
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Fax |
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Provider Business Mailing Address
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Address Line | 10600 HIGHLAND SPRINGS AVE
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City | CHERRY VALLEY
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State | CA
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Zip | 92223-5548
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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 | PRESIDENT
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Name | MR. JAN KIELMANN
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Credential | MS, CNS, IFMCP
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Telephone | 909-810-0858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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