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General NPI Number Information
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NPI Number | 1134248883
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Entity Type | Organization
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Legal Business Name | OPEN ARMS MEN'S CENTER
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11502 S VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90044-6522
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Country | US
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Telephone | 323-755-2742
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Fax | 323-755-8787
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Provider Business Mailing Address
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Address Line | 8306 WILSHIRE BLVD SUITE 7024
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2304
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Country | US
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Telephone | 323-755-2742
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. RHONDA LABOMME
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Credential |
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Telephone | 323-855-5656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number | 7222
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License Number State | CA
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