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General NPI Number Information
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NPI Number | 1144088303
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Entity Type | Organization
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Legal Business Name | CULTURACARE TREATMENT SERVICES
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 611 WILSHIRE BLVD STE 900
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City | LOS ANGELES
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State | CA
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Zip | 90017-2905
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Country | US
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Telephone | 213-214-3201
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Fax |
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Provider Business Mailing Address
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Address Line | 178 SUGAR HILL RD
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City | LYNDONVILLE
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State | VT
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Zip | 05851-4301
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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 | CHIEF MEDICAL OFFICER
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Name | SIMONE LESSAC-CHENEN
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Credential | MD
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Telephone | 646-483-5628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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