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General NPI Number Information
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NPI Number | 1083742498
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Entity Type | Organization
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Legal Business Name | NAMI URBAN LOS ANGELES
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4305 DEGNAN BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90008-4948
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Country | US
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Telephone | 310-203-7851
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Fax |
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Provider Business Mailing Address
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Address Line | 11391 WEST OLYMPIC BOULEVARD #572
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City | LOS ANGELES
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State | CA
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Zip | 90064
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Country | US
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Telephone | 310-450-2074
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Fax | 310-450-9421
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. NANCY CARTER
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Credential |
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Telephone | 310-452-0744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | CA
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