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General NPI Number Information
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NPI Number | 1164759452
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Entity Type | Organization
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Legal Business Name | WOMEN FOR CHANGE FOUNDATION
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Dates
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Enumeration Date | 11/09/2009
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Last Update Date | 02/19/2011
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Provider Practice Location Address
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Address Line | 611 WILSHIRE BLVD STE 1401
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City | LOS ANGELES
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State | CA
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Zip | 90017-2928
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Country | US
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Telephone | 877-266-7419
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Fax | 213-955-9222
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Provider Business Mailing Address
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Address Line | 611 WILSHIRE BLVD STE 1401
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City | LOS ANGELES
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State | CA
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Zip | 90017-2928
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Country | US
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Telephone | 877-266-7419
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Fax | 213-955-9222
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JACQUELINE DENISE MILLER
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Credential |
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Telephone | 877-266-7419
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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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