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General NPI Number Information
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NPI Number | 1013767060
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Entity Type | Organization
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Legal Business Name | FREE FROM HARDSHIP LA INC
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Dates
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Enumeration Date | 03/25/2024
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 11850 S NORMANDIE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90044-1222
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Country | US
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Telephone | 310-345-0313
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 ROSECRANS AVE STE 500
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City | MANHATTAN BEACH
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State | CA
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Zip | 90266-3771
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Country | US
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Telephone | 310-482-9392
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CELESTIAL LORENE SCOTT
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Credential |
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Telephone | 310-482-9392
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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