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General NPI Number Information
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NPI Number | 1629861703
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Entity Type | Organization
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Legal Business Name | DISCOVERING INDEPENDENCE
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Dates
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Enumeration Date | 05/22/2025
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Last Update Date | 05/22/2025
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Provider Practice Location Address
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Address Line | 9637 CALIFORNIA AVE
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City | SOUTH GATE
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State | CA
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Zip | 90280-4523
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Country | US
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Telephone | 310-508-1768
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Fax |
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Provider Business Mailing Address
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Address Line | 15507 S NORMANDIE AVE # 178
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City | GARDENA
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State | CA
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Zip | 90247-4013
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Country | US
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Telephone | 310-508-1768
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ISJONNE WANZO
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Credential |
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Telephone | 310-508-1768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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