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General NPI Number Information
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NPI Number | 1427347129
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Entity Type | Organization
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Legal Business Name | FREE N ONE, A DRUG AND ALCOHOL FREE PROGRAM
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Dates
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Enumeration Date | 04/04/2011
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Last Update Date | 04/04/2011
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Provider Practice Location Address
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Address Line | 2941 W 70TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90043-4420
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Country | US
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Telephone | 323-295-0009
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Fax | 323-295-0022
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Provider Business Mailing Address
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Address Line | 5838 OVERHILL DR SUITE 3
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City | LOS ANGELES
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State | CA
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Zip | 90043-2725
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Country | US
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Telephone | 323-295-0009
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Fax | 323-295-0022
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | YOLONDA SIMMONS
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Credential |
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Telephone | 323-295-0009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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