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General NPI Number Information
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NPI Number | 1629729603
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Entity Type | Organization
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Legal Business Name | LOVED ONES VICTIMS SERVICES
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Dates
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Enumeration Date | 01/12/2022
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Last Update Date | 01/12/2022
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Provider Practice Location Address
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Address Line | 5701 W SLAUSON AVE STE 116
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City | CULVER CITY
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State | CA
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Zip | 90230-3416
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Country | US
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Telephone | 310-337-7006
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Fax | 310-337-7060
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Provider Business Mailing Address
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Address Line | PO BOX 451816
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City | LOS ANGELES
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State | CA
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Zip | 90045-8522
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Country | US
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Telephone | 310-337-7006
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Fax | 310-337-7060
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Authorized Official
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Title or Position | ASSISTANT DIRECTOR
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Name | CHANTEL AKERELE
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Credential |
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Telephone | 310-337-7006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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