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General NPI Number Information
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NPI Number | 1225992472
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Entity Type | Organization
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Legal Business Name | EMPOWER FAMILY SUPPORT SERVICES LLC
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Dates
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Enumeration Date | 12/11/2025
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 11837 ORCHARD AVE
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City | LOS ANGELES
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State | CA
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Zip | 90044-4025
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Country | US
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Telephone | 323-523-4016
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Fax |
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Provider Business Mailing Address
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Address Line | 11837 ORCHARD AVE
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City | LOS ANGELES
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State | CA
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Zip | 90044-4025
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Country | US
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Telephone | 323-523-4016
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | JOHNTA WILLIAMS
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Credential |
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Telephone | 323-523-4016
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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