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General NPI Number Information
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NPI Number | 1043018237
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Entity Type | Organization
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Legal Business Name | CLEARPATH HORIZONS LLC
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 975 SCARLET HAZE AVE
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City | LAS VEGAS
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State | NV
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Zip | 89183-6374
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Country | US
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Telephone | 702-721-8816
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Fax |
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Provider Business Mailing Address
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Address Line | 10736 JEFFERSON BLVD
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City | CULVER CITY
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State | CA
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Zip | 90230-4933
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Country | US
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Telephone | 323-854-1633
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROCKISHA ROLAND
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Credential |
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Telephone | 323-854-1633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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