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General NPI Number Information
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NPI Number | 1194114959
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Entity Type | Organization
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Legal Business Name | PRIME PERFORMANCE HEALTH D.B.A. HITTING THE RIGHT NOTE
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Dates
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Enumeration Date | 01/16/2015
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Last Update Date | 01/16/2015
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Provider Practice Location Address
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Address Line | 2600 N CENTRAL AVE
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City | COMPTON
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State | CA
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Zip | 90222-1640
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Country | US
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Telephone | 562-230-0960
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Fax |
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Provider Business Mailing Address
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Address Line | 1218 E BROADWAY SUITE 307
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City | LONG BEACH
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State | CA
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Zip | 90802-3639
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Country | US
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Telephone | 562-230-0960
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ANGELA MCAFEE
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Credential |
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Telephone | 562-230-0960
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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