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NPI 1447446414

NPI 1447446414 : COUNTY OF LOS ANGELES, PUBLIC HEALTH : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1447446414
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    Entity Type          |    Organization 
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    Legal Business Name  |    COUNTY OF LOS ANGELES, PUBLIC HEALTH 
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Dates
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    Enumeration Date     |    09/24/2007
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    Last Update Date     |    09/24/2007
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Provider Practice Location Address
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    Address Line         |    1522 E 102ND ST 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90002-3338
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    Country              |    US
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    Telephone            |    323-563-4068
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    Fax                  |    323-249-1594
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Provider Business Mailing Address
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    Address Line         |    1522 E 102ND ST 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90002-3338
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    Country              |    US
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    Telephone            |    323-563-4068
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    Fax                  |    323-249-1594
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Authorized Official
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    Title or Position    |    SECRETARY
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    Name                 |    MS. ANGELES  PERKINS 
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    Credential           |    
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    Telephone            |    323-563-4086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP0905X
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    Taxonomy Name        |    State or Local Public Health Clinic/Center
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    License Number       |    437662
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    261QP0905X
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    Taxonomy Name        |    State or Local Public Health Clinic/Center
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    License Number       |    437226
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    License Number State |    CA
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