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General NPI Number Information
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NPI Number | 1154624450
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Entity Type | Organization
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Legal Business Name | LE FOYER, INC
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Dates
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Enumeration Date | 12/09/2010
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Last Update Date | 12/09/2010
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Provider Practice Location Address
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Address Line | 20619 ROMAR ST
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City | CHATSWORTH
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State | CA
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Zip | 91311-3232
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Country | US
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Telephone | 818-360-8046
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Fax | 818-360-0795
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Provider Business Mailing Address
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Address Line | 10710 BELMAR AVE
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City | NORTHRIDGE
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State | CA
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Zip | 91326-2202
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Country | US
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Telephone | 818-360-8046
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Fax | 818-360-0795
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MARIANO LACSAMANA
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Credential |
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Telephone | 818-360-8046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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