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General NPI Number Information
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NPI Number | 1821295445
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Entity Type | Organization
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Legal Business Name | COALITION OF MENTAL HEALTH PROFESSIONALS, INC
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9145 S BROADWAY
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City | LOS ANGELES
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State | CA
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Zip | 90003-4051
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Country | US
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Telephone | 323-777-3120
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Fax | 323-777-5968
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Provider Business Mailing Address
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Address Line | 9145 S BROADWAY
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City | LOS ANGELES
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State | CA
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Zip | 90003-4051
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Country | US
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Telephone | 323-777-3120
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Fax | 323-777-5968
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. SANDRA ELAINE COX
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Credential | PH.D.
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Telephone | 323-777-3120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MFC14557
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License Number State | CA
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