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General NPI Number Information
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NPI Number | 1639291651
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Entity Type | Organization
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Legal Business Name | REMAH HEALTH SERVICES
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 8929 S SEPULVEDA BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90045-3616
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Country | US
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Telephone | 310-670-0911
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Fax | 310-670-0990
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Provider Business Mailing Address
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Address Line | 15544 RYON AVE
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City | BELLFLOWER
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State | CA
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Zip | 90706-3625
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Country | US
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Telephone | 562-867-5150
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Fax | 310-670-0990
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR,
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Name | PROF. DORIS. NWASOR. ADOH. I
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Credential | BS,LVN,MFT INTERN,
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Telephone | 310-254-8446
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | R1AO509271126
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License Number State | CA
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