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General NPI Number Information
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NPI Number | 1437970613
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Entity Type | Organization
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Legal Business Name | EDNOVATE CHARTER SCHOOLS INC.
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 3939 S VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90037-1916
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Country | US
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Telephone | 213-454-0599
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Fax |
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Provider Business Mailing Address
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Address Line | 3939 S VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90037-1916
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | HEAD OF NURSING OPERATIONS
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Name | ALEXANDRA HOUSTON
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Credential | RN
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Telephone | 213-454-0599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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