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General NPI Number Information
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NPI Number | 1922033547
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Entity Type | Organization
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Legal Business Name | CHA HOLLYWOOD MEDICAL CENTER, LP
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 04/17/2014
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Provider Practice Location Address
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Address Line | 1300 NORTH VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90027
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Country | US
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Telephone | 213-413-3000
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Fax | 323-660-7952
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Provider Business Mailing Address
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Address Line | 1300 NORTH VERMONT AVE.
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City | LOS ANGELES
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State | CA
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Zip | 90027
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Country | US
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Telephone | 213-413-3000
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Fax | 323-660-7952
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Authorized Official
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Title or Position | PRESIDENT, CEO
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Name | MR. KENNETH I RIVERS
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Credential |
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Telephone | 323-913-4914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 930000067
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License Number State | CA
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