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General NPI Number Information
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NPI Number | 1992142327
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Entity Type | Organization
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Legal Business Name | VIN'ASH COACHING, LLC
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Dates
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Enumeration Date | 05/24/2013
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Last Update Date | 05/24/2013
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Provider Practice Location Address
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Address Line | 3163 W 154TH PLACE
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City | GARDENA
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State | CA
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Zip | 90249
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Country | US
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Telephone | 310-704-3164
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2304
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City | MANHATTAN BEACH
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State | CA
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Zip | 90267-2304
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Country | US
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Telephone | 310-704-3164
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND LIFE COACH
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Name | MR. COLEBY LOMBARDO
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Credential | CADC-II
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Telephone | 310-704-3164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | B4319219
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License Number State | CA
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