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NPI 1578414736

NPI 1578414736 : SULUOLEAVA LELE ATUA : GARDENA, CA

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General NPI Number Information
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    NPI Number           |    1578414736
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    Entity Type          |    Individual 
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    Provider Name        |    SULUOLEAVA LELE ATUA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/04/2026
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    Last Update Date     |    02/04/2026
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Provider Practice Location Address
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    Address Line         |    879 W 190TH ST STE 1000 
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    City                 |    GARDENA
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    State                |    CA
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    Zip                  |    90248-4255
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    Country              |    US
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    Telephone            |    310-329-9115
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1225 E 3RD ST APT B 
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    City                 |    LONG BEACH
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    State                |    CA
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    Zip                  |    90802-3670
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    Country              |    US
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    Telephone            |    562-522-0641
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    CA
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