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General NPI Number Information
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NPI Number | 1700143690
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Entity Type | Organization
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Legal Business Name | ONE FOR ALL: HEALING ARTS CENTER, INC.
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Dates
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Enumeration Date | 04/16/2012
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Last Update Date | 04/16/2012
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Provider Practice Location Address
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Address Line | 11160 WASHINGTON BLVD STE A
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City | CULVER CITY
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State | CA
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Zip | 90232-3978
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Country | US
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Telephone | 626-720-3687
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Fax |
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Provider Business Mailing Address
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Address Line | 11160 WASHINGTON BLVD STE A
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City | CULVER CITY
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State | CA
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Zip | 90232-3978
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALYSSA PARKER
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Credential |
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Telephone | 626-720-3687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 10025
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 36950
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License Number State | CA
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