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General NPI Number Information
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NPI Number | 1346421252
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Entity Type | Organization
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Legal Business Name | SPIRIT OF HEALTH INC.
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Dates
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Enumeration Date | 11/19/2007
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Last Update Date | 11/19/2007
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Provider Practice Location Address
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Address Line | 2001 W 48TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90062-2106
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Country | US
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Telephone | 323-299-4649
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Fax | 323-299-4651
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Provider Business Mailing Address
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Address Line | 2001 W 48TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90062-2106
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Country | US
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Telephone | 323-299-4649
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Fax | 323-299-4651
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Authorized Official
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Title or Position | CEO/ADMINISTRATOR
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Name | JEAN HEKIMYAN
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Credential |
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Telephone | 323-810-5084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | ADU70276F
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License Number State | CA
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