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General NPI Number Information
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NPI Number | 1285119230
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Entity Type | Organization
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Legal Business Name | DOCRD L.L.C.
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Dates
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Enumeration Date | 09/26/2018
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Last Update Date | 01/03/2021
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Provider Practice Location Address
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Address Line | 1850 IVAR AVE
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City | LOS ANGELES
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State | CA
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Zip | 90028-5008
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Country | US
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Telephone | 213-700-2661
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1138
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City | LOS ANGELES
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State | CA
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Zip | 90078-1138
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Country | US
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Telephone | 213-700-2661
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Fax |
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Authorized Official
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Title or Position | OWNER CEO
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Name | DR. MICHAEL TODD GREENE
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Credential | ED.D., M.S., R.D.N.
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Telephone | 213-700-2661
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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