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General NPI Number Information
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NPI Number | 1952451064
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Entity Type | Organization
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Legal Business Name | LOTUS BLOSSOM THERAPY CENTER
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1305 W BEVERLY BLVD
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City | MONTEBELLO
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State | CA
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Zip | 90640-4144
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Country | US
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Telephone | 323-346-0360
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Fax | 323-346-0361
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Provider Business Mailing Address
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Address Line | 1305 W BEVERLY BLVD
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City | MONTEBELLO
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State | CA
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Zip | 90640-4144
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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 | ADMINISTRATOR
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Name | MR. HERBERT HO
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Credential |
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Telephone | 323-346-0360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State | CA
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