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General NPI Number Information
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NPI Number | 1689562944
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Entity Type | Organization
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Legal Business Name | KOUESSEU AND ASSOCIATES.INC
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Dates
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Enumeration Date | 06/25/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 2864 E FLORENCE AVE STE 101
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-5749
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Country | US
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Telephone | 424-376-7211
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Fax |
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Provider Business Mailing Address
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Address Line | 2864 E FLORENCE AVE STE 101
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-5749
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Country | US
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Telephone | 424-376-7211
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GISLENE KOUESSEU
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Credential | ADMINISTRATOR
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Telephone | 424-376-7211
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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 | 251J00000X
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Taxonomy Name | Nursing Care 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 | 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 #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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