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General NPI Number Information
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NPI Number | 1720377252
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Entity Type | Organization
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Legal Business Name | HELP MINISTRY FELLOWSHIP Y.E.T
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Dates
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Enumeration Date | 04/05/2011
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Last Update Date | 04/05/2011
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Provider Practice Location Address
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Address Line | 3756 SANTA ROSALIA DR STE 219
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City | LOS ANGELES
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State | CA
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Zip | 90008-3616
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Country | US
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Telephone | 323-299-4357
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Fax | 323-299-1089
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Provider Business Mailing Address
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Address Line | 3756 SANTA ROSALIA DR STE 219
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City | LOS ANGELES
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State | CA
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Zip | 90008-3616
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Country | US
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Telephone | 323-299-4357
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Fax | 323-299-1089
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | TONYA L. GUILLORY
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Credential | CCDC
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Telephone | 323-299-4357
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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 | 190707AN
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License Number State | CA
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