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General NPI Number Information
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NPI Number | 1922984046
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Entity Type | Individual
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Provider Name | SASHA KENNERLY TALAVERA
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Gender |
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 250 WASHBURN AVE
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City | CAPITOLA
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State | CA
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Zip | 95010-3730
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Country | US
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Telephone | 831-464-5660
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Fax |
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Provider Business Mailing Address
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Address Line | 620 MONTEREY AVE
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City | CAPITOLA
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State | CA
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Zip | 95010-3618
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Country | US
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Telephone | 831-464-5630
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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 |
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License Number State |
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