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General NPI Number Information
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NPI Number | 1265673818
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Entity Type | Organization
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Legal Business Name | GG HEALTH SERVICES INC.
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Dates
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Enumeration Date | 03/11/2009
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Last Update Date | 03/11/2009
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Provider Practice Location Address
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Address Line | 8836 S WESTERN AVE
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City | LOS ANGELES
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State | CA
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Zip | 90047-3328
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Country | US
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Telephone | 323-702-5411
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Fax |
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Provider Business Mailing Address
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Address Line | 8836 S WESTERN AVE
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City | LOS ANGELES
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State | CA
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Zip | 90047-3328
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Country | US
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Telephone | 323-702-5411
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. EZEKIEL OLUSOLA OYEKALE
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Credential | PASTOR
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Telephone | 323-702-5411
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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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