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General NPI Number Information
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NPI Number | 1679708655
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Entity Type | Organization
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Legal Business Name | DOWNTOWN MENTAL HEALTH
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Dates
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Enumeration Date | 05/20/2009
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Last Update Date | 05/20/2009
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Provider Practice Location Address
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Address Line | 619 E 5TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90013-2109
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Country | US
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Telephone | 213-688-4816
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Fax | 213-488-2121
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Provider Business Mailing Address
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Address Line | 619 E 5TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90013-2109
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Country | US
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Telephone | 213-688-4816
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Fax | 213-488-2121
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Authorized Official
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Title or Position | PSYCHIATRIC SOCIAL WORKER 1
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Name | MRS. TOSHA SWEET
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Credential | LCSW
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Telephone | 213-688-4816
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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 | 1884I
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License Number State | CA
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