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General NPI Number Information
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NPI Number | 1740631845
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Entity Type | Organization
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Legal Business Name | AFRICAN COMMUNITIES PUBLIC HEALTH COALITION
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Dates
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Enumeration Date | 06/29/2016
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Last Update Date | 06/29/2016
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Provider Practice Location Address
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Address Line | 3731 STOCKER ST SUITE 211
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City | VIEW PARK
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State | CA
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Zip | 90008-5118
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Country | US
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Telephone | 213-909-0985
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Fax | 213-929-5102
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Provider Business Mailing Address
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Address Line | 3731 STOCKER ST SUITE 211
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City | VIEW PARK
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State | CA
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Zip | 90008-5118
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Country | US
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Telephone | 213-909-0985
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Fax | 213-929-5102
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. SENAIT ADMASSU
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Credential |
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Telephone | 310-936-8085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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