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General NPI Number Information
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NPI Number | 1578840799
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Entity Type | Organization
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Legal Business Name | ECONOMIC SERVICES, INCORPORATED
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Dates
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Enumeration Date | 11/16/2011
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Last Update Date | 11/16/2011
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Provider Practice Location Address
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Address Line | 5144 CRENSHAW BLVD.
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City | LOS ANGELES
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State | CA
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Zip | 90043
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Country | US
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Telephone | 323-702-3543
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Fax |
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Provider Business Mailing Address
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Address Line | 5144 CRENSHAW BLVD.
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City | LOS ANGELES
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State | CA
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Zip | 90043
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Country | US
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Telephone | 323-702-3543
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. ROBBIE LENOX
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Credential |
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Telephone | 323-702-3543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State | CA
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