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General NPI Number Information
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NPI Number | 1558663633
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Entity Type | Organization
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Legal Business Name | COMMUNITIES ACTIVELY LIVING INDEPENDENT AND FREE
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Dates
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Enumeration Date | 11/23/2010
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Last Update Date | 11/23/2010
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Provider Practice Location Address
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Address Line | 634 S SPRING ST 2ND FLOOR
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City | LOS ANGELES
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State | CA
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Zip | 90014-3921
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Country | US
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Telephone | 213-627-0477
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Fax | 213-627-0535
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Provider Business Mailing Address
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Address Line | 634 SOUTH SPRING STREET 2ND FLOOR
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City | LOS ANGELES
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State | CA
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Zip | 90014-3921
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Country | US
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Telephone | 213-627-0477
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Fax | 213-627-0535
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. LILLIBETH ESPINOSA NAVARRO
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Credential |
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Telephone | 213-627-0477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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