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General NPI Number Information
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NPI Number | 1417364811
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Entity Type | Organization
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Legal Business Name | COUNTY OF LOS ANGELES - AUDITOR CONTROLLER
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Dates
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Enumeration Date | 07/17/2014
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Last Update Date | 04/29/2015
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Provider Practice Location Address
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Address Line | 313 N FIGUEROA ST SUITE 1225
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City | LOS ANGELES
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State | CA
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Zip | 90012-2602
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Country | US
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Telephone | 213-240-7717
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Fax | 213-975-9623
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Provider Business Mailing Address
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Address Line | 313 N FIGUEROA ST SUITE 1225
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City | LOS ANGELES
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State | CA
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Zip | 90012-2602
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Country | US
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Telephone | 213-240-7717
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Fax | 213-975-9623
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Authorized Official
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Title or Position | PHARMACY SERVICES CHIEF
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Name | DR. SHANE DSOUZA
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Credential | PHARM.D.
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Telephone | 213-240-7717
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | PHE 51883
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License Number State | CA
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