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General NPI Number Information
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NPI Number | 1386991578
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Entity Type | Organization
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Legal Business Name | CALIFORNIA HEALTH, ALCOHOL &. DRUG EDUCATION PROGRAM, INC.
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Dates
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Enumeration Date | 08/07/2012
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Last Update Date | 11/30/2012
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Provider Practice Location Address
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Address Line | 9702 SOUTH HOLMES AVE
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City | LOS ANGELES
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State | CA
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Zip | 90002-3030
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Country | US
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Telephone | 323-294-7662
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Fax |
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Provider Business Mailing Address
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Address Line | 3756 SANTA ROSALIA DR STE 423
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City | LOS ANGELES
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State | CA
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Zip | 90008-3614
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Country | US
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Telephone | 323-294-7662
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Fax | 323-294-7703
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | GEORGE C NZE
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Credential |
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Telephone | 951-833-8426
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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 | 2737
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License Number State | CA
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