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General NPI Number Information
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NPI Number | 1528311263
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Entity Type | Organization
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Legal Business Name | LOS ANGELES METROPOLITAN CHURCHES
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Dates
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Enumeration Date | 10/18/2012
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Last Update Date | 10/18/2012
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Provider Practice Location Address
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Address Line | 5801 S SAN PEDRO ST
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City | LOS ANGELES
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State | CA
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Zip | 90011-5323
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Country | US
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Telephone | 323-238-0445
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Fax | 323-230-6271
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Provider Business Mailing Address
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Address Line | 5801 S SAN PEDRO ST
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City | LOS ANGELES
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State | CA
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Zip | 90011-5323
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Country | US
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Telephone | 323-238-0445
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Fax | 323-230-6271
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. CHERYL A BRANCH
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Credential | MS
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Telephone | 323-238-0445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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