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General NPI Number Information
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NPI Number | 1801698964
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Entity Type | Organization
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Legal Business Name | ALLIANCE FOR COMMUNITY EMPOWERMENT (CVI NORTHRIDGE)
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 8540 RESEDA BLVD STE 210
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City | NORTHRIDGE
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State | CA
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Zip | 91324-6143
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Country | US
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Telephone | 818-704-7884
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Fax |
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Provider Business Mailing Address
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Address Line | 6925 CANOGA AVE
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City | CANOGA PARK
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State | CA
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Zip | 91303-2032
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | LINDSAY HENSON
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Credential |
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Telephone | 818-312-4626
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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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Taxonomy #2
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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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