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General NPI Number Information
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NPI Number | 1992077408
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Entity Type | Organization
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Legal Business Name | NEW DIRECTIONS
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Dates
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Enumeration Date | 01/30/2012
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Last Update Date | 01/30/2012
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Provider Practice Location Address
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Address Line | 11530 LA MIRADA BLVD
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City | LA MIRADA
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State | CA
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Zip | 90638-1162
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Country | US
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Telephone | 562-943-6000
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Fax | 562-943-6006
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Provider Business Mailing Address
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Address Line | 11530 LA MIRADA BLVD
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City | LA MIRADA
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State | CA
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Zip | 90638-1162
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Country | US
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Telephone | 562-943-6000
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Fax | 562-943-6006
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. RICHARD J PERLA
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Credential | PH.D.
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Telephone | 562-943-6000
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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 | 190253AP
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License Number State | CA
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