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General NPI Number Information
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NPI Number | 1710972351
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Entity Type | Organization
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Legal Business Name | UCLA SCHOOL OF NURSING HEALTH CENTER
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Dates
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Enumeration Date | 09/20/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | UCLA SCHOOL OF NURSING HEALTH CENTER AT URM 545 S SAN PEDRO ST
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City | LOS ANGELES
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State | CA
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Zip | 90013-2101
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Country | US
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Telephone | 213-673-4849
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Fax | 213-673-4581
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Provider Business Mailing Address
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Address Line | UCLA SCHOOL OF NURSING HEALTH CENTER AT URM 545 S SAN PEDRO ST
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City | LOS ANGELES
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State | CA
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Zip | 90013-2101
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Country | US
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Telephone | 213-673-4849
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Fax | 213-673-4581
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. AARON JAY STREHLOW
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Credential | FNP
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Telephone | 213-673-4849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State | CA
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