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General NPI Number Information
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NPI Number | 1649526260
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Entity Type | Organization
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Legal Business Name | ASSISTANCE LEAGUE-FAMILY SERVICE AGENCY
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Dates
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Enumeration Date | 08/01/2012
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Last Update Date | 08/01/2012
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Provider Practice Location Address
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Address Line | 1360 N ST ANDREWS PL
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City | LOS ANGELES
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State | CA
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Zip | 90028-8529
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Country | US
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Telephone | 323-469-5893
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Fax | 323-469-5896
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Provider Business Mailing Address
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Address Line | 1360 N ST ANDREWS PL
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City | LOS ANGELES
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State | CA
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Zip | 90028-8529
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Country | US
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Telephone | 323-469-5893
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Fax | 323-469-5896
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JANA PLASTERS
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Credential | LMFT
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Telephone | 323-469-5893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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