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General NPI Number Information
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NPI Number | 1326397175
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Entity Type | Organization
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Legal Business Name | A BETTER LIVING ENDEAVOR (ABLE)
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Dates
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Enumeration Date | 09/06/2012
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Last Update Date | 09/06/2012
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Provider Practice Location Address
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Address Line | 4067 HARDWICK ST #108
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City | LAKEWOOD
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State | CA
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Zip | 90712-2350
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Country | US
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Telephone | 562-234-5454
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Fax |
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Provider Business Mailing Address
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Address Line | 9607 S SAN PEDRO ST
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City | LOS ANGELES
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State | CA
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Zip | 90003-4324
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Country | US
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Telephone | 323-315-8324
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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 | MS. YETUNDE ALAKE WATSON
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Credential | ED.D
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Telephone | 562-234-5454
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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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