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General NPI Number Information
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NPI Number | 1629767207
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Entity Type | Organization
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Legal Business Name | AGAPES HELPING HANDS
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 05/01/2023
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Provider Practice Location Address
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Address Line | 3833 W 27TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90018-2321
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Country | US
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Telephone | 310-251-0245
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Fax |
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Provider Business Mailing Address
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Address Line | 3833 W 27TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90018-2321
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Country | US
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Telephone | 310-251-0245
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | VALENCIA CARILLO
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Credential |
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Telephone | 310-251-0245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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 | 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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Taxonomy #3
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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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