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General NPI Number Information
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NPI Number | 1437482635
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Entity Type | Organization
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Legal Business Name | KEDREN MENTAL HEALTH CENTER
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Dates
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Enumeration Date | 09/08/2009
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Last Update Date | 09/08/2009
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Provider Practice Location Address
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Address Line | 2160 W ADAMS BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90018-2039
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Country | US
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Telephone | 323-733-3886
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Fax |
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Provider Business Mailing Address
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Address Line | 8927 RAMSGATE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90045-4611
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Country | US
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Telephone | 310-686-5473
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Fax |
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Authorized Official
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Title or Position | CASE MANAGER
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Name | KEDREN CENTER
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Credential | BSW
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Telephone | 323-733-3886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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