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General NPI Number Information
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NPI Number | 1083162150
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Entity Type | Organization
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Legal Business Name | BARBARA CARE HEALTH SOLUTIONS, INC.
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Dates
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Enumeration Date | 09/16/2016
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Last Update Date | 09/16/2016
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Provider Practice Location Address
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Address Line | 1515 W 96TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90047-3932
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Country | US
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Telephone | 323-829-0234
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Fax |
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Provider Business Mailing Address
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Address Line | 323 N PRAIRIE AVE 401-A
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City | INGLEWOOD
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State | CA
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Zip | 90301-4502
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Country | US
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Telephone | 323-829-0234
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Fax |
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Authorized Official
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Title or Position | FOUNDER/DIRECTOR
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Name | MS. TRACI LAVELLE
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Credential |
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Telephone | 323-829-0234
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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 | 190918AP
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License Number State | CA
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