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General NPI Number Information
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NPI Number | 1508166612
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Entity Type | Organization
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Legal Business Name | THE SALVATION ARMY TORRANCE CORPS
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Dates
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Enumeration Date | 10/25/2010
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Last Update Date | 10/25/2010
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Provider Practice Location Address
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Address Line | 4223 EMERALD ST
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City | TORRANCE
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State | CA
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Zip | 90503-3001
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Country | US
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Telephone | 310-370-4515
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Fax | 310-370-8835
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Provider Business Mailing Address
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Address Line | 4223 EMERALD ST.
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City | TORRANCE
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State | CA
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Zip | 90503-3093
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Country | US
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Telephone | 310-370-4515
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Fax | 310-370-8835
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Authorized Official
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Title or Position | MAJOR
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Name | MR. JULIO VASQUEZ
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Credential |
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Telephone | 310-370-4515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 191605024
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License Number State | CA
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