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General NPI Number Information
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NPI Number | 1407009269
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Entity Type | Organization
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Legal Business Name | LOS ANGELES COUNTY PROBATION DEPARTMENT
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Dates
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Enumeration Date | 10/24/2008
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Last Update Date | 10/24/2008
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Provider Practice Location Address
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Address Line | 3606 W. EXPOSITION BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90016
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Country | US
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Telephone | 323-298-3511
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Fax |
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Provider Business Mailing Address
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Address Line | 3606 EXPOSITION BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90016-4822
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Country | US
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Telephone | 323-298-3511
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Fax |
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Authorized Official
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Title or Position | DEPUTY PROBATION OFFICER II
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Name | MR. JAMES RICHARD BRAY I
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Credential |
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Telephone | 323-610-0314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291900000X
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Taxonomy Name | Military Clinical Medical Laboratory
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License Number |
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License Number State |
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