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General NPI Number Information
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NPI Number | 1003077710
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Entity Type | Organization
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Legal Business Name | 2ND CHANCE FOR RECOVERY, INC.
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Dates
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Enumeration Date | 06/24/2008
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Last Update Date | 04/19/2012
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Provider Practice Location Address
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Address Line | 600 E 7TH ST # 104-105
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City | LOS ANGELES
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State | CA
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Zip | 90021-1436
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Country | US
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Telephone | 818-590-0111
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Fax | 866-754-1323
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Provider Business Mailing Address
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Address Line | 22218 CORALBELL LN
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-7211
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Country | US
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Telephone | 818-590-0111
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Fax | 866-754-1323
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. OGANES JOHN HAKOPYAN
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Credential |
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Telephone | 818-590-0111
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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 |
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License Number State |
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