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General NPI Number Information
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NPI Number | 1790418762
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Entity Type | Organization
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Legal Business Name | PATHWAYS FOR VICTIMS OF DOMESTIC VIOLENCE
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 06/01/2023
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Provider Practice Location Address
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Address Line | 3761 S NORMANDIE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90007-4256
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Country | US
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Telephone | 323-522-9667
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 137
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City | SANTA MONICA
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State | CA
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Zip | 90406-0137
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Country | US
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Telephone | 323-522-9667
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | EMMA MONTILINI
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Credential |
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Telephone | 310-642-8316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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