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General NPI Number Information
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NPI Number | 1225215148
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Entity Type | Organization
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Legal Business Name | LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
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Dates
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Enumeration Date | 01/22/2008
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Last Update Date | 01/22/2008
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Provider Practice Location Address
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Address Line | 11500 RIVERSIDE DR APT 1
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91602-1026
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Country | US
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Telephone | 818-231-0427
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Fax |
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Provider Business Mailing Address
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Address Line | 11500 RIVERSIDE DR APT 1
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91602-1026
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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 | SPSW
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Name | MS. TAIA DAVIS
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Credential | LCSW
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Telephone | 818-231-0427
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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 | LCS23779
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License Number State | CA
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