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NPI 1740986546

NPI 1740986546 : GIFTED HEALING INC : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1740986546
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    Entity Type          |    Organization 
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    Legal Business Name  |    GIFTED HEALING INC 
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Dates
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    Enumeration Date     |    02/02/2023
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    Last Update Date     |    02/11/2023
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Provider Practice Location Address
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    Address Line         |    348 HAUSER BLVD # 1-210 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90036-3276
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    Country              |    US
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    Telephone            |    757-956-7939
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    348 HAUSER BLVD # 1-210 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90036-3276
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    Country              |    US
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    Telephone            |    757-956-7939
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DON
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    Name                 |     GABRIELLE N MEEKS 
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    Credential           |    RN
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    Telephone            |    757-956-7939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251F00000X
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    Taxonomy Name        |    Home Infusion Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251G00000X
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    Taxonomy Name        |    Community Based Hospice Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    251J00000X
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    Taxonomy Name        |    Nursing Care Agency
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    License Number       |    
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    License Number State |    
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