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General NPI Number Information
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NPI Number | 1891664561
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Entity Type | Individual
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Provider Name | YOLANDA VERA REYES
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Gender | Female
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Dates
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Enumeration Date | 11/01/2025
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Last Update Date | 11/01/2025
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Provider Practice Location Address
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Address Line | 2855 FOOTHILL BLVD UNIT E206
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City | LA VERNE
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State | CA
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Zip | 91750-3172
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Country | US
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Telephone | 951-733-9123
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Fax |
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Provider Business Mailing Address
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Address Line | 2855 FOOTHILL BLVD
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City | LA VERNE
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State | CA
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Zip | 91750-3100
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Country | US
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Telephone | 951-733-9123
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | C6603094
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License Number State | CA
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