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General NPI Number Information
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NPI Number | 1891214904
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Entity Type | Organization
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Legal Business Name | COUNTY OF LOS ANGELES - AUDITOR CONTROLLER
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Dates
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Enumeration Date | 09/11/2017
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Last Update Date | 10/02/2017
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Provider Practice Location Address
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Address Line | 12021 WILMINGTON AVE STE 1003
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City | LOS ANGELES
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State | CA
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Zip | 90059-3019
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Country | US
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Telephone | 424-338-1501
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Fax |
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Provider Business Mailing Address
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Address Line | 1670 120TH STREET NSB, MEDICAL ADMINISTRATION
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City | LOS ANGELES
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State | CA
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Zip | 90059
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Country | US
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Telephone | 424-338-1501
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Fax |
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Authorized Official
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Title or Position | CHIEF, REVENUE SERVICES
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Name | FRANK ALBERT
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Credential |
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Telephone | 213-240-8366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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