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General NPI Number Information
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NPI Number | 1497638597
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Entity Type | Organization
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Legal Business Name | LITTLE HOUSE OUTPATIENT
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 9928 FLOWER ST STE 101
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City | BELLFLOWER
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State | CA
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Zip | 90706-5472
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Country | US
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Telephone | 562-533-4532
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Fax |
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Provider Business Mailing Address
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Address Line | 9718 HARVARD ST
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City | BELLFLOWER
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State | CA
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Zip | 90706-3635
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Country | US
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Telephone | 562-925-2777
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | SAMANTHA HELENA SALMERON
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Credential | CADC
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Telephone | 562-925-2777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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