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General NPI Number Information
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NPI Number | 1669687026
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTHCARE RESOURCES INC.
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Dates
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Enumeration Date | 05/11/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 11502 S VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90044-6522
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Country | US
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Telephone | 323-779-2800
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Fax | 323-754-4014
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Provider Business Mailing Address
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Address Line | 11502 S VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90044-6522
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Country | US
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Telephone | 323-779-2800
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Fax | 323-754-4014
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Authorized Official
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Title or Position | PRESIDENT
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Name | DWIGHT WAYNE MALONE
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Credential | M.D.
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Telephone | 323-779-2800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G71749
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | G73639
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License Number State | CA
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