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General NPI Number Information
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NPI Number | 1790690931
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Entity Type | Organization
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Legal Business Name | ARMS OF NEFERTARI
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/16/2026
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Provider Practice Location Address
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Address Line | 2808 W 85TH ST
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City | INGLEWOOD
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State | CA
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Zip | 90305-1824
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Country | US
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Telephone | 213-796-2586
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Fax | 424-702-4295
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Provider Business Mailing Address
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Address Line | 2808 W 85TH ST
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City | INGLEWOOD
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State | CA
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Zip | 90305-1824
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Country | US
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Telephone | 213-796-2586
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Fax | 424-702-4295
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Authorized Official
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Title or Position | CEO/FOUNDER
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Name | MR. KENNETH LAVAN HICKS
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Credential |
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Telephone | 213-796-2586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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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 | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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