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General NPI Number Information
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NPI Number | 1053098152
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Entity Type | Organization
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Legal Business Name | PREP ED PROGRAMS INC.
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Dates
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Enumeration Date | 06/29/2023
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Last Update Date | 05/10/2025
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Provider Practice Location Address
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Address Line | 5150 CANDLEWOOD ST STE 22C
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City | LAKEWOOD
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State | CA
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Zip | 90712-1929
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Country | US
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Telephone | 562-270-4833
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Fax | 562-377-7961
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Provider Business Mailing Address
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Address Line | 2005 PALO VERDE AVE STE 251
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City | LONG BEACH
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State | CA
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Zip | 90815-3322
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Country | US
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Telephone | 562-270-4833
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Fax | 562-377-7961
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. CLAUDE DILES III
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Credential | CMPSS #MPSS-LKXQFH
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Telephone | 424-242-3087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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