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General NPI Number Information
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NPI Number | 1912278953
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Entity Type | Organization
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Legal Business Name | JAHI FAMILY SERVICES
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Dates
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Enumeration Date | 01/23/2012
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Last Update Date | 03/01/2016
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Provider Practice Location Address
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Address Line | 9001 S VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90044-4835
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Country | US
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Telephone | 323-640-2039
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Fax | 323-757-5244
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Provider Business Mailing Address
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Address Line | PO BOX 440058
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City | LOS ANGELES
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State | CA
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Zip | 90044-6617
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Country | US
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Telephone | 323-640-2039
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Fax | 323-757-5244
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Authorized Official
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Title or Position | CEO/DIRECTOR
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Name | MRS. TAWANNA JEAN SMITH
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Credential |
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Telephone | 323-640-2039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW14453
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW25991
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License Number State | CA
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