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General NPI Number Information
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NPI Number | 1891197687
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Entity Type | Organization
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Legal Business Name | VISITING ANGELS OF LOS ANGELES
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Dates
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Enumeration Date | 09/23/2014
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Last Update Date | 09/23/2014
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Provider Practice Location Address
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Address Line | 6709 LA TIJERA BLVD #629
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City | LOS ANGELES
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State | CA
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Zip | 90045-2017
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Country | US
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Telephone | 323-291-0100
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Fax | 323-924-1175
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Provider Business Mailing Address
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Address Line | 6709 LA TIJERA BLVD #629
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City | LOS ANGELES
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State | CA
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Zip | 90045-2017
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Country | US
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Telephone | 323-291-0100
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Fax | 323-924-1175
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. YVETTE GEYEN
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Credential |
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Telephone | 323-291-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 000221836600017
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License Number State | CA
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