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General NPI Number Information
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NPI Number | 1508742750
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Entity Type | Organization
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Legal Business Name | A EXTENSIVE CARE SERVICE, PC
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 4701 W IMPERIAL HWY
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City | INGLEWOOD
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State | CA
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Zip | 90304-2630
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Country | US
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Telephone | 310-910-0660
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Fax | 424-512-0206
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Provider Business Mailing Address
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Address Line | 4701 W IMPERIAL HWY
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City | INGLEWOOD
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State | CA
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Zip | 90304-2630
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Country | US
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Telephone | 310-910-0660
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Fax | 424-512-0206
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Authorized Official
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Title or Position | OWNER
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Name | ANTOINE TAYLOR
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Credential | DNP
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Telephone | 310-910-0660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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