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General NPI Number Information
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NPI Number | 1710358882
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Entity Type | Organization
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Legal Business Name | IRANIAN JEWISH SENIOR CENTER
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Dates
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Enumeration Date | 10/14/2015
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Last Update Date | 10/14/2015
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Provider Practice Location Address
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Address Line | 8764 W OLYMPIC BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90035-1911
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Country | US
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Telephone | 310-562-1323
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Fax |
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Provider Business Mailing Address
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Address Line | 8764 W OLYMPIC BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90035-1911
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Country | US
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Telephone | 310-562-1323
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | IRAJ KANANI
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Credential |
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Telephone | 310-652-1323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 197603601
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License Number State | CA
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