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General NPI Number Information
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NPI Number | 1962664078
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Entity Type | Organization
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Legal Business Name | THE CELEBRITY CENTER, INC.
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 4600 DON LORENZO DR APT 19
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City | LOS ANGELES
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State | CA
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Zip | 90008-5509
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Country | US
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Telephone | 323-294-4424
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Fax | 323-294-4494
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Provider Business Mailing Address
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Address Line | 9550 CRENSHAW BLVD
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City | INGLEWOOD
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State | CA
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Zip | 90305-2912
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Country | US
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Telephone | 213-706-5569
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Fax | 323-292-1103
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Authorized Official
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Title or Position | C.E.O.
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Name | DR. YVONNE LOYRANE STOKES
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Credential | D.C.
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Telephone | 213-706-5569
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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 | 261QA0600X
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License Number State | CA
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