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General NPI Number Information
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NPI Number | 1356015903
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Entity Type | Organization
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Legal Business Name | FINISH FIRST ACADEMY
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Dates
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Enumeration Date | 08/06/2021
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Last Update Date | 08/06/2021
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Provider Practice Location Address
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Address Line | 210 E 85TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90003-3010
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Country | US
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Telephone | 310-528-9885
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Fax |
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Provider Business Mailing Address
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Address Line | 5444 CRENSHAW BLVD STE 200
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City | LOS ANGELES
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State | CA
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Zip | 90043-2408
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ROBERT NEAL
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Credential |
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Telephone | 310-528-9885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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