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General NPI Number Information
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NPI Number | 1821950544
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Entity Type | Organization
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Legal Business Name | NOBLEQUEST FOUNDATION COMMUNITY SUPPORT LLC
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Dates
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Enumeration Date | 12/01/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 3101 BEVERLY BLVD STE D
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City | LOS ANGELES
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State | CA
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Zip | 90057-1033
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Country | US
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Telephone | 818-997-7117
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Fax | 818-997-0117
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Provider Business Mailing Address
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Address Line | 3101 BEVERLY BLVD STE D
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City | LOS ANGELES
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State | CA
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Zip | 90057-1033
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Country | US
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Telephone | 818-997-7117
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Fax | 818-997-0117
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CAROL CARILLO
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Credential |
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Telephone | 818-300-8363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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