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General NPI Number Information
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NPI Number | 1306934930
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Entity Type | Organization
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Legal Business Name | CLARIS HEALTH
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 12/05/2023
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Provider Practice Location Address
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Address Line | 11500 W. OLYMPIC BLVD. SUITE 570
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City | LOS ANGELES
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State | CA
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Zip | 90064
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Country | US
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Telephone | 310-268-8400
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Fax | 310-268-8088
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Provider Business Mailing Address
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Address Line | 11500 W. OLYMPIC BLVD SUITE 560
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City | LOS ANGELES
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State | CA
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Zip | 90064
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Country | US
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Telephone | 310-268-8111
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Fax | 310-268-8112
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Authorized Official
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Title or Position | CEO
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Name | MRS. TALITHA J PHILLIPS
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Credential |
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Telephone | 310-268-8111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 960001442
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License Number State | CA
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