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General NPI Number Information
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NPI Number | 1790817153
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Entity Type | Individual
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Provider Name | MR. ALEMAYEHU ALEMAYEHU
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Gender | Male
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 10/04/2013
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Provider Practice Location Address
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Address Line | 2500 WILSHIRE BLVD FL 7
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City | LOS ANGELES
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State | CA
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Zip | 90057-4303
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Country | US
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Telephone | 213-610-4929
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Fax |
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Provider Business Mailing Address
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Address Line | 2081 W 27TH ST APT 104
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City | LOS ANGELES
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State | CA
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Zip | 90018-3009
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Country | US
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Telephone | 213-610-4929
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Fax | 213-610-4929
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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