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General NPI Number Information
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NPI Number | 1992191696
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Entity Type | Organization
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Legal Business Name | JAHI FAMILY SERVICES
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Dates
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Enumeration Date | 04/09/2015
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Last Update Date | 04/09/2015
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Provider Practice Location Address
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Address Line | 9001 S VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90044-4835
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Country | US
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Telephone | 323-640-2039
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Fax | 323-757-5244
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Provider Business Mailing Address
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Address Line | 9001 S VERMONT AVE
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City | LOS ANGELES
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State | CA
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Zip | 90044-4835
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Country | US
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Telephone | 323-640-2039
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Fax | 323-757-5244
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. TAWANNA JEAN SMITH-BLACK
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Credential |
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Telephone | 323-640-2039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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