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General NPI Number Information
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NPI Number | 1093947475
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Entity Type | Organization
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Legal Business Name | BLESSED HEALTH SERVICES
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Dates
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Enumeration Date | 08/18/2009
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Last Update Date | 08/18/2009
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Provider Practice Location Address
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Address Line | 3756 SANTA ROSALIA DR #523A
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City | LOS ANGELES
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State | CA
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Zip | 90008-3606
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Country | US
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Telephone | 562-313-5432
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Fax |
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Provider Business Mailing Address
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Address Line | 3756 SANTA ROSALIA DR #523A
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City | LOS ANGELES
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State | CA
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Zip | 90008-3606
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Country | US
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Telephone | 562-313-5432
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | FLORENCE MBANU
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Credential | RN
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Telephone | 562-313-5432
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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 |
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License Number State |
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