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General NPI Number Information
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NPI Number | 1912358904
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Entity Type | Organization
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Legal Business Name | AMERICAN HELATH SERVICES
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Dates
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Enumeration Date | 06/30/2016
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Last Update Date | 06/30/2016
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Provider Practice Location Address
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Address Line | 1524 W 227TH ST APT 1
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City | TORRANCE
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State | CA
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Zip | 90501-4917
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Country | US
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Telephone | 323-509-8054
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Fax |
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Provider Business Mailing Address
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Address Line | 1524 W 227TH ST APT 1
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City | TORRANCE
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State | CA
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Zip | 90501-4917
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Country | US
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Telephone | 323-509-8054
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Fax |
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Authorized Official
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Title or Position | LVN NURSE
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Name | LATOYA MYSHAWN HICKS
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Credential | LVN
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Telephone | 323-653-1677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310500000X
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Taxonomy Name | Mental Illness Intermediate Care Facility
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License Number | VN228146
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License Number State | CA
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