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General NPI Number Information
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NPI Number | 1447584065
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Entity Type | Organization
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Legal Business Name | CENTRE OF POSITIVE ESSENTIALS, INC
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Dates
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Enumeration Date | 09/29/2009
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Last Update Date | 09/29/2009
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Provider Practice Location Address
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Address Line | 8391 BEVERLY BLVD PMB 437
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City | LOS ANGELES
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State | CA
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Zip | 90048-2633
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Country | US
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Telephone | 213-880-2440
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Fax | 323-299-0194
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Provider Business Mailing Address
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Address Line | 8391 BEVERLY BLVD PMB 437
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City | LOS ANGELES
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State | CA
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Zip | 90048-2633
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Country | US
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Telephone | 213-880-2440
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Fax | 323-299-0194
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Authorized Official
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Title or Position | CEO/CFLO
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Name | MS. JEANNE M STEEN
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Credential |
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Telephone | 213-880-2440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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