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General NPI Number Information
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NPI Number | 1356132146
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Entity Type | Organization
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Legal Business Name | DA VINCI RISE HIGH
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 13634 CORDARY AVE
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City | HAWTHORNE
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State | CA
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Zip | 90250-7409
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Country | US
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Telephone | 310-725-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 201 N DOUGLAS ST
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City | EL SEGUNDO
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State | CA
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Zip | 90245-4637
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Country | US
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Telephone | 310-725-5800
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF HEALTH SERVICES
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Name | DR. EMILY GREEN
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Credential | RN, SN, PHD
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Telephone | 310-725-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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