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General NPI Number Information
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NPI Number | 1932818226
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Entity Type | Organization
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Legal Business Name | PATHWAYS TO HEALTHCARE LLC
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Dates
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Enumeration Date | 11/16/2022
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Last Update Date | 11/16/2022
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Provider Practice Location Address
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Address Line | 4433 EAGLE ROCK BLVD APT 111
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City | LOS ANGELES
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State | CA
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Zip | 90041-3287
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Country | US
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Telephone | 805-501-7759
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Fax |
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Provider Business Mailing Address
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Address Line | 1129 OLEANDER WAY
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City | SIMI VALLEY
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State | CA
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Zip | 93065-3370
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Country | US
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Telephone | 805-994-6496
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. LAUREN N RAPOSAS
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Credential | RN
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Telephone | 805-501-7759
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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