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General NPI Number Information
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NPI Number | 1932310869
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Entity Type | Organization
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Legal Business Name | THE DISICIPLES IN TRAINING INC
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1618 E ALONDRA BLVD
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City | COMPTON
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State | CA
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Zip | 90221-4408
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Country | US
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Telephone | 310-637-5400
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5367
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City | COMPTON
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State | CA
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Zip | 90224-5367
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO EXECUTIVE
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Name | MS. NYREE BERRY
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Credential |
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Telephone | 310-637-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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