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General NPI Number Information
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NPI Number | 1831352251
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Entity Type | Organization
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Legal Business Name | COMMUNITY HOSPITAL OF LONG BEACH
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 07/07/2008
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Provider Practice Location Address
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Address Line | 1720 TERMINO AVE
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City | LONG BEACH
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State | CA
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Zip | 90804-2104
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Country | US
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Telephone | 562-498-1000
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Fax | 562-498-4630
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Provider Business Mailing Address
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Address Line | 1720 TERMINO AVE
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City | LONG BEACH
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State | CA
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Zip | 90804-2104
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Country | US
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Telephone | 562-498-1000
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Fax | 562-498-4630
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | MR. RAY JANKOWSKI
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Credential |
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Telephone | 562-498-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State |
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