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General NPI Number Information
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NPI Number | 1033644331
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Entity Type | Organization
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Legal Business Name | GOLD STANDARD RECOVERY SERVICES, LLC
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Dates
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Enumeration Date | 04/24/2017
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Last Update Date | 02/22/2018
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Provider Practice Location Address
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Address Line | 2319 WHITESANDS DR
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-2855
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Country | US
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Telephone | 310-437-3114
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Fax |
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Provider Business Mailing Address
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Address Line | 2319 WHITESANDS DR
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-2855
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Country | US
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Telephone | 310-437-3114
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Fax |
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Authorized Official
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Title or Position | COO
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Name | CHELCIE R GUTHRIE
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Credential |
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Telephone | 657-464-0322
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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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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 300009AP
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License Number State | CA
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