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General NPI Number Information
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NPI Number | 1003027863
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Entity Type | Organization
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Legal Business Name | DEVELOPMENT SPECIALTY PROJECTS, INC.
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 02/02/2010
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Provider Practice Location Address
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Address Line | 3460 WILSHIRE BLVD 500
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City | LOS ANGELES
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State | CA
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Zip | 90010-2206
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Country | US
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Telephone | 888-505-7104
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Fax | 818-812-9205
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Provider Business Mailing Address
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Address Line | 19300 RINALDI ST SUITE 8270
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City | NORTHRIDGE
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State | CA
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Zip | 91326-1651
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Country | US
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Telephone | 888-505-7104
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Fax | 818-812-9205
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DAVID MCGUIRE
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Credential |
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Telephone | 909-821-8023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 190413DP
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License Number State | CA
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