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General NPI Number Information
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NPI Number | 1194484782
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Entity Type | Organization
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Legal Business Name | CARE WORLD
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Dates
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Enumeration Date | 12/11/2021
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Last Update Date | 12/11/2021
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Provider Practice Location Address
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Address Line | 1405 W STOCKWELL STREET
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City | COMPTON
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State | CA
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Zip | 90222
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Country | US
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Telephone | 323-270-5379
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Fax |
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Provider Business Mailing Address
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Address Line | 1405 W STOCKWELL STREET
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City | COMPTON
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State | CA
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Zip | 90222
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Country | US
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Telephone | 323-270-5379
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. NICOLE C FERGUSON
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Credential | R.N.
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Telephone | 323-270-5379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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