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General NPI Number Information
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NPI Number | 1013146489
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Entity Type | Organization
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Legal Business Name | MORE LOVE LLC
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Dates
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Enumeration Date | 07/07/2009
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Last Update Date | 07/07/2009
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Provider Practice Location Address
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Address Line | 3739 OVERLAND AVE
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City | LOS ANGELES
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State | CA
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Zip | 90034-6311
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Country | US
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Telephone | 310-815-9115
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Fax |
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Provider Business Mailing Address
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Address Line | 212 19TH ST
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City | SANTA MONICA
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State | CA
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Zip | 90402-2408
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MRS. LINA ORLOV
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Credential |
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Telephone | 310-702-3117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 060000636
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License Number State | CA
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