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General NPI Number Information
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NPI Number | 1437990512
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Entity Type | Individual
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Provider Name | HEATHER CHERI POE
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Gender | Female
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Dates
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Enumeration Date | 06/04/2024
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 24813 NARBONNE AVE APT 103
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City | LOMITA
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State | CA
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Zip | 90717-1593
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Country | US
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Telephone | 310-408-3578
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Fax |
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Provider Business Mailing Address
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Address Line | 24813 NARBONNE AVE APT 103
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City | LOMITA
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State | CA
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Zip | 90717-1593
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Country | US
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Telephone | 310-408-3578
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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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 | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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License Number |
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License Number State |
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