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General NPI Number Information
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NPI Number | 1629789383
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Entity Type | Organization
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Legal Business Name | LIFE LANDSCAPING, INC
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Dates
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Enumeration Date | 12/13/2022
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Last Update Date | 12/24/2024
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Provider Practice Location Address
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Address Line | 3415 OVERLAND AVE
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City | LOS ANGELES
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State | CA
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Zip | 90034-5405
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Country | US
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Telephone | 800-530-3100
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Fax | 323-927-0105
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Provider Business Mailing Address
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Address Line | 14411 TELEGRAPH RD
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City | WHITTIER
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State | CA
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Zip | 90604-2909
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TAREK YOUSEF
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Credential |
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Telephone | 800-530-3100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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