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General NPI Number Information
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NPI Number | 1699248674
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Entity Type | Organization
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Legal Business Name | CENTRAL NEIGHBORHOOD HEALTH FOUNDAT
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Dates
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Enumeration Date | 01/02/2019
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Last Update Date | 02/20/2019
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Provider Practice Location Address
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Address Line | 711 E VIA WANDA
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City | LONG BEACH
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State | CA
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Zip | 90805-6526
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Country | US
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Telephone | 213-536-8514
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Fax |
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Provider Business Mailing Address
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Address Line | 714 W OLYMPIC BLVD STE 801
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City | LOS ANGELES
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State | CA
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Zip | 90015-1440
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Country | US
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Telephone | 213-536-8515
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Fax | 323-798-3015
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Authorized Official
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Title or Position | DIRECTOR OF BUSINESS OFFICE
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Name | CYNTHIA ARRIOLA
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Credential |
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Telephone | 213-536-8514
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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 |
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License Number State |
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