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General NPI Number Information
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NPI Number | 1902270010
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Entity Type | Organization
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Legal Business Name | GOOD SEED COMMUNITY DEVELOPMENT CORPORATION
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Dates
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Enumeration Date | 11/30/2015
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 6568 5TH AVE
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City | LOS ANGELES
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State | CA
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Zip | 90043-4511
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Country | US
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Telephone | 323-758-5433
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Fax | 800-455-2142
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Provider Business Mailing Address
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Address Line | 6568 5TH AVE
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City | LOS ANGELES
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State | CA
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Zip | 90043-4511
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Country | US
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Telephone | 323-758-5433
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Fax | 800-455-2142
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JONATHAN LENEL THOMPSON
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Credential |
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Telephone | 323-758-5433
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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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 | 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 #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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