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General NPI Number Information
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NPI Number | 1306366513
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Entity Type | Organization
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Legal Business Name | SAFE IPC
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Dates
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Enumeration Date | 06/20/2017
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Last Update Date | 06/20/2017
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Provider Practice Location Address
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Address Line | 1639 11TH ST STE 200
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City | SANTA MONICA
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State | CA
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Zip | 90404-3729
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Country | US
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Telephone | 415-310-0801
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Fax |
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Provider Business Mailing Address
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Address Line | 841 S CLOVERDALE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90036-4818
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Country | US
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Telephone | 917-373-9448
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Fax |
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Authorized Official
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Title or Position | GENERAL COUNSEL
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Name | LARRY WEISS
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Credential | ESQ.
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Telephone | 415-310-0801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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Taxonomy #3
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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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 | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 261QR1100X
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Taxonomy Name | Research Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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