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General NPI Number Information
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NPI Number | 1467203554
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Entity Type | Organization
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Legal Business Name | PROMISES KEPT, INC.
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Dates
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Enumeration Date | 03/28/2024
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 6536 SPRINGPARK AVE
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City | LOS ANGELES
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State | CA
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Zip | 90056-2224
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Country | US
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Telephone | 310-641-1220
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Fax | 310-641-1244
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Provider Business Mailing Address
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Address Line | 6709 LATIJERA BL 178
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City | LOS ANGELES
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State | CA
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Zip | 90045
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Country | US
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Telephone | 323-573-4554
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES GARY BUCKMAN
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Credential |
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Telephone | 323-573-4554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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