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General NPI Number Information
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NPI Number | 1306646526
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Entity Type | Organization
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Legal Business Name | AUDACITY GLOBAL
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 8928 S FIGUEROA ST
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City | LOS ANGELES
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State | CA
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Zip | 90003-3228
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Country | US
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Telephone | 213-537-3881
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Fax |
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Provider Business Mailing Address
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Address Line | 3025 ARTESIA BLVD # 75
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City | TORRANCE
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State | CA
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Zip | 90504-2600
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Country | US
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Telephone | 213-537-3881
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. NYREE BERRY
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Credential |
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Telephone | 213-537-3881
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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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 | 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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Taxonomy #3
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider 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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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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 | 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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