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General NPI Number Information
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NPI Number | 1750682514
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Entity Type | Organization
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Legal Business Name | EL PROYECTO DEL BARRIO
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Dates
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Enumeration Date | 11/10/2010
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Last Update Date | 11/10/2010
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Provider Practice Location Address
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Address Line | 9140 VAN NUYS BLVD SUITE 211
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City | PANORAMA CITY
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State | CA
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Zip | 91402-6727
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Country | US
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Telephone | 818-895-2206
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Fax | 818-895-0824
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Provider Business Mailing Address
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Address Line | 9140 VAN NUYS BLVD
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City | PANORAMA CITY
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State | CA
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Zip | 91402-6727
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Country | US
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Telephone | 818-895-2206
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Fax | 818-895-0824
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Authorized Official
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Title or Position | CASE MANAGER
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Name | MS. IRMA Y ERCOLONO
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Credential |
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Telephone | 818-895-2206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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