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To help better serve you, please be sure to complete the self-discovery form. You can also email or call Tiffany.

Please allow one business day for general response. Tiffany Mason. Contact us for coaching packages Depending on the needs of the clients, we offer various coaching packages.

Last Name. Private Life Coaching. Business Strategy. Wellness Retreats. This address cannot include a Post Office box.

Provider Mailing Address The mailing address of the provider being identified. This address may contain the same information as the provider location address.

What is a Subpart? Subparts are the components and separate physical locations of organization health care providers.

Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories.

These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name The other organization name is the alternative last name by which the provider is or has been known if an individual or other name by which the organization provider is or has been known.

The code identifying the type of other name. Primary Taxonomy Code The primary taxonomy code defines the provider type, classification, and specialization.

There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Previous NPI:

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Please be as detailed as possible. Include what type of service inquiring about. To help better serve you, please be sure to complete the self-discovery form.

You can also email or call Tiffany. Please allow one business day for general response. Tiffany Mason.

Contact us for coaching packages Depending on the needs of the clients, we offer various coaching packages. Last Name. Private Life Coaching.

For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address The mailing address of the provider being identified. This address may contain the same information as the provider location address.

What is a Subpart? Subparts are the components and separate physical locations of organization health care providers.

Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories.

These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name The other organization name is the alternative last name by which the provider is or has been known if an individual or other name by which the organization provider is or has been known.

The code identifying the type of other name. Primary Taxonomy Code The primary taxonomy code defines the provider type, classification, and specialization.

There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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