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General NPI Number Information
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NPI Number | 1972420214
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Entity Type | Organization
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Legal Business Name | ASCENDED ENTERPRISES LLC
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 3850 COCO AVE APT 5
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City | LOS ANGELES
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State | CA
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Zip | 90008-1432
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Country | US
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Telephone | 424-234-9780
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Fax | 424-256-8148
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Provider Business Mailing Address
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Address Line | 3850 COCO AVE APT 5
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City | LOS ANGELES
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State | CA
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Zip | 90008-1432
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Country | US
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Telephone | 424-234-9780
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Fax | 424-256-8148
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | KENNESHA FORREST
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Credential |
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Telephone | 424-234-9780
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 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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