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General NPI Number Information
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NPI Number | 1780244830
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Entity Type | Organization
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Legal Business Name | HELPING OUR MENTALITIES EXCEL, INC.
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Dates
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Enumeration Date | 06/19/2019
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Last Update Date | 06/19/2019
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Provider Practice Location Address
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Address Line | 479 PARK FRONT WALK
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City | LOS ANGELES
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State | CA
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Zip | 90011-3943
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Country | US
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Telephone | 323-235-5483
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Fax |
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Provider Business Mailing Address
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Address Line | 479 PARK FRONT WALK
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City | LOS ANGELES
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State | CA
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Zip | 90011-3943
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Country | US
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Telephone | 323-235-5483
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | JOHNNY GARAY
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Credential |
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Telephone | 323-313-4399
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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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