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General NPI Number Information
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NPI Number | 1033024302
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Entity Type | Organization
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Legal Business Name | CAREPLUS MEDICAL-WEST FLORENCE
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 2021 W FLORENCE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90047-2101
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Country | US
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Telephone | 323-565-4093
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1109
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City | MANHATTAN BEACH
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State | CA
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Zip | 90267-1109
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Country | US
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Telephone | 323-565-4093
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Fax |
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Authorized Official
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Title or Position | CORPORATE SECRETARY
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Name | SARAH HARATI
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Credential |
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Telephone | 310-766-7298
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | NULL
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