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General NPI Number Information
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NPI Number | 1891397972
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Entity Type | Individual
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Provider Name | DIJON WASHINGTON
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Gender | Male
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Dates
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Enumeration Date | 11/12/2020
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 322 CULVER BLVD # 1151
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City | PLAYA DEL REY
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State | CA
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Zip | 90293-7704
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Country | US
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Telephone | 714-341-9118
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Fax |
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Provider Business Mailing Address
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Address Line | 322 CULVER BLVD # 1151
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City | PLAYA DEL REY
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State | CA
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Zip | 90293-7704
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Country | US
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Telephone | 714-341-9118
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | CA
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