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General NPI Number Information
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NPI Number | 1669812392
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Entity Type | Organization
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Legal Business Name | THE ROADS FOUNDATION, INC
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Dates
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Enumeration Date | 06/26/2013
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 4800 E LOS COYOTES DIAGONAL
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City | LONG BEACH
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State | CA
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Zip | 90815-2827
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Country | US
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Telephone | 310-627-5850
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Fax |
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Provider Business Mailing Address
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Address Line | 121 S LONG BEACH BLVD
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City | COMPTON
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State | CA
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Zip | 90221-3423
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Country | US
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Telephone | 310-627-5850
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Fax | 310-627-5855
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Authorized Official
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Title or Position | CEO
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Name | SHAUNT AREVIAN
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Credential | JD
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Telephone | 310-627-5850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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