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General NPI Number Information
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NPI Number | 1780843425
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Entity Type | Organization
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Legal Business Name | OGDEN HOME CORP.
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Dates
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Enumeration Date | 06/06/2008
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Last Update Date | 06/06/2008
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Provider Practice Location Address
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Address Line | 906 N OGDEN DR
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90046-7310
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Country | US
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Telephone | 323-650-6588
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Fax |
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Provider Business Mailing Address
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Address Line | 906 N OGDEN DR
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90046-7310
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Country | US
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Telephone | 323-650-6588
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Fax |
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Authorized Official
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Title or Position | ADM.
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Name | MR. ALLEN SAMSON
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Credential |
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Telephone | 323-650-6588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number | 191800521
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License Number State | CA
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