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General NPI Number Information
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NPI Number | 1912054180
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Entity Type | Organization
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Legal Business Name | LAKRIS GROUP INC
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3919 W SLAUSON AVE
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City | LOS ANGELES
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State | CA
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Zip | 90043-2936
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Country | US
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Telephone | 323-508-3333
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Fax | 323-508-4555
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Provider Business Mailing Address
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Address Line | 3919 W SLAUSON AVE
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City | LOS ANGELES
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State | CA
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Zip | 90043-2936
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Country | US
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Telephone | 323-508-3333
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Fax | 323-508-4555
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. CHRISTIAN OKPALA
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Credential |
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Telephone | 323-508-3333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 98000878
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License Number State | CA
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