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General NPI Number Information
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NPI Number | 1255692455
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Entity Type | Organization
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Legal Business Name | WESTSIDE INFANT-FAMILY NETWORK
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Dates
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Enumeration Date | 06/04/2012
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Last Update Date | 09/18/2023
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Provider Practice Location Address
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Address Line | 5601 W SLAUSON AVENUE SUITE 220
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City | CULVER CITY
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State | CA
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Zip | 90230
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Country | US
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Telephone | 213-222-6975
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Fax | 310-760-5323
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Provider Business Mailing Address
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Address Line | 5601 W SLAUSON AVENUE SUITE 220
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City | CULVER CITY
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State | CA
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Zip | 90230
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Country | US
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Telephone | 213-222-6975
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Fax | 310-760-5323
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. TIMOTHY SWEENEY
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Credential |
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Telephone | 310-570-3822
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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 |
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License Number State |
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