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General NPI Number Information
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NPI Number | 1063391415
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Entity Type | Organization
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Legal Business Name | NEW VISION IOP LLC
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 18425 BURBANK BLVD STE 609
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City | TARZANA
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State | CA
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Zip | 91356-2806
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Country | US
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Telephone | 818-600-8640
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Fax | 818-600-8465
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Provider Business Mailing Address
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Address Line | 18425 BURBANK BLVD STE 609
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City | TARZANA
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State | CA
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Zip | 91356-2806
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Country | US
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Telephone | 818-600-8640
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Fax | 818-600-8465
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Authorized Official
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Title or Position | CEO
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Name | MRS. IRENE NAYGAS
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Credential | PHARM D
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Telephone | 818-600-8640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 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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