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General NPI Number Information
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NPI Number | 1235012741
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Entity Type | Organization
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Legal Business Name | LIFELINE EDUCATION CHARTER SCHOOL, CO.
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 225 S SANTA FE AVE
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City | COMPTON
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State | CA
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Zip | 90221-3240
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Country | US
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Telephone | 310-605-2510
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Fax |
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Provider Business Mailing Address
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Address Line | 161 W VICTORIA ST STE 200
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City | LONG BEACH
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State | CA
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Zip | 90805-2169
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Country | US
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Telephone | 310-502-0415
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Fax |
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Authorized Official
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Title or Position | COO
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Name | TINIA CORTEZ
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Credential | COO
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Telephone | 310-605-2510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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