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General NPI Number Information
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NPI Number | 1114686235
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Entity Type | Organization
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Legal Business Name | DETECTION & TREATMENT RESOURCES, INC
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Dates
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Enumeration Date | 12/16/2021
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Last Update Date | 12/16/2021
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Provider Practice Location Address
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Address Line | 301 N. PRAIRE AVE SUITE #210
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City | INGLEWOOD
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State | CA
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Zip | 90301-9030
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Country | US
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Telephone | 562-285-3190
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Fax |
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Provider Business Mailing Address
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Address Line | 12440 FIRESTONE BLVD STE 100
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City | NORWALK
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State | CA
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Zip | 90650-4340
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Country | US
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Telephone | 562-285-3190
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Fax |
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Authorized Official
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Title or Position | SENIOR EXECUTIVE OFFICE ADMIN.
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Name | MR. WOODY OJEDA
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Credential | NONE
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Telephone | 562-285-3190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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