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General NPI Number Information
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NPI Number | 1407725245
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Entity Type | Organization
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Legal Business Name | ASSSOCIATED MOTHERS IN ACTION
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Dates
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Enumeration Date | 10/31/2025
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Last Update Date | 10/31/2025
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Provider Practice Location Address
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Address Line | 1919 E EL SEGUNDO
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City | COMPTON
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State | CA
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Zip | 90222
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Country | US
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Telephone | 310-612-9843
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Fax |
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Provider Business Mailing Address
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Address Line | 1302 W 137TH ST
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City | COMPTON
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State | CA
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Zip | 90222-3216
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Country | US
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Telephone | 310-612-9843
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. LANEISHA HODO
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Credential |
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Telephone | 310-612-9843
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335G00000X
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Taxonomy Name | Medical Foods Supplier
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License Number |
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License Number State |
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