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General NPI Number Information
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NPI Number | 1700129731
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Entity Type | Organization
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Legal Business Name | HELPFUL HANDS DRUG AND ALCOHOL OUTPATIENT PROGRAM INC
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Dates
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Enumeration Date | 03/28/2013
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Last Update Date | 03/28/2013
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Provider Practice Location Address
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Address Line | 1249 S LA BREA AVE
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City | LOS ANGELES
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State | CA
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Zip | 90019-1627
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Country | US
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Telephone | 323-931-4647
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Fax | 323-931-4748
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Provider Business Mailing Address
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Address Line | 1249 S LA BREA AVE
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City | LOS ANGELES
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State | CA
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Zip | 90019-1627
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Country | US
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Telephone | 323-931-4647
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Fax | 323-931-4748
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARINE DEGIRMENDJIAN
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Credential | BA
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Telephone | 323-819-9635
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 190770AN
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License Number State | CA
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