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General NPI Number Information
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NPI Number | 1750585840
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Entity Type | Organization
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Legal Business Name | RADIMOT, INC.
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1317 E COMPTON BLVD
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City | COMPTON
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State | CA
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Zip | 90221-3401
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Country | US
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Telephone | 310-638-4487
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Fax | 310-638-4491
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Provider Business Mailing Address
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Address Line | 1317 E COMPTON BLVD
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City | COMPTON
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State | CA
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Zip | 90221-3401
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Country | US
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Telephone | 310-638-4487
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Fax | 310-638-4491
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. OLUFUNKE FADOJUTIMI
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Credential | RN
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Telephone | 310-408-9496
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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