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General NPI Number Information
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NPI Number | 1689586968
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Entity Type | Organization
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Legal Business Name | ABOVE AND BEYOND CARE PROVIDERS,INC.
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 670 CRENSHAW BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90005-3622
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Country | US
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Telephone | 909-210-0365
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Fax | 562-202-5009
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Provider Business Mailing Address
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Address Line | 670 CRENSHAW BLVD # 101
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City | LOS ANGELES
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State | CA
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Zip | 90005-3622
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Country | US
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Telephone | 323-695-1799
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Fax | 562-202-5009
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Authorized Official
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Title or Position | CEO
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Name | PATRIA MARAVILLA DUFRENNE
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Credential | RN
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Telephone | 909-210-0365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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