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General NPI Number Information
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NPI Number | 1952193682
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Entity Type | Organization
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Legal Business Name | HEALTH ACCESS FOR ALL INC
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 6210 SEVILLE AVE
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-2913
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Country | US
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Telephone | 866-981-3002
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 57130
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City | LOS ANGELES
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State | CA
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Zip | 90057-0130
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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 | COO
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Name | MARIANA CANELA
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Credential |
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Telephone | 213-413-4888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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