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General NPI Number Information
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NPI Number | 1083806152
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Entity Type | Organization
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Legal Business Name | LOS ANGELES COUNTYDEPARTMENT OF MENTAL HEALTH
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 08/13/2007
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Provider Practice Location Address
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Address Line | 4060 WATSON PLAZA DR
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City | LAKEWOOD
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State | CA
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Zip | 90712-4033
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Country | US
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Telephone | 562-497-3510
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Fax |
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Provider Business Mailing Address
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Address Line | 1127 SEPULVEDA BLVD UNIT L-204
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City | TORRANCE
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State | CA
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Zip | 90502-3503
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VOLUNTEER
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Name | ANQOINETTE BOYLES
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Credential |
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Telephone | 310-650-4238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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