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General NPI Number Information
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NPI Number | 1538036611
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Entity Type | Organization
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Legal Business Name | INGLEWOOD WRAPPING ARMS AROUND THE COMMUNITY
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Dates
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Enumeration Date | 10/22/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 343 W 46TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90037-3140
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Country | US
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Telephone | 562-702-1101
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Fax |
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Provider Business Mailing Address
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Address Line | 650 E MANCHESTER BLVD
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City | INGLEWOOD
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State | CA
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Zip | 90301-1910
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Country | US
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Telephone | 424-331-9268
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | REGINALD LAUDERMILL
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Credential |
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Telephone | 562-702-1101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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