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General NPI Number Information
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NPI Number | 1063211506
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Entity Type | Organization
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Legal Business Name | AUTONOMOUS USER REHABILITATION AGENT, LLC
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 5757 W CENTURY BLVD STE 700-55
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City | LOS ANGELES
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State | CA
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Zip | 90045-6401
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Country | US
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Telephone | 310-200-7753
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Fax |
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Provider Business Mailing Address
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Address Line | 8033 W SUNSET BLVD STE 353
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City | LOS ANGELES
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State | CA
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Zip | 90046-2401
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Country | US
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Telephone | 310-200-7753
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LIMA JEVREMOVIC
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Credential |
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Telephone | 310-200-7753
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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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 | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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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 | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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