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General NPI Number Information
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NPI Number | 1780729087
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Entity Type | Organization
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Legal Business Name | OUTREACH HEALTH SERVICES, INC
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 431 W COMPTON BLVD
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City | COMPTON
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State | CA
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Zip | 90220-3008
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Country | US
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Telephone | 310-603-5353
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Fax | 310-603-0098
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Provider Business Mailing Address
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Address Line | 431 W COMPTON BLVD
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City | COMPTON
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State | CA
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Zip | 90220-3008
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Country | US
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Telephone | 310-603-5353
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Fax | 310-603-0098
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. FELIX THOMAS ALUGBUE
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Credential |
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Telephone | 310-603-5353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 190446AN
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License Number State | CA
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