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General NPI Number Information
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NPI Number | 1790571016
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Entity Type | Organization
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Legal Business Name | LEAVE IT TO MANNY
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 2590 S WESTGATE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90064-2742
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Country | US
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Telephone | 424-248-3818
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Fax |
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Provider Business Mailing Address
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Address Line | 1621 S SHERBOURNE DR
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City | LOS ANGELES
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State | CA
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Zip | 90035-4414
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Country | US
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Telephone | 310-309-0405
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | AVIEL NAHUM
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Credential |
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Telephone | 424-392-3482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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