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General NPI Number Information
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NPI Number | 1093130601
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Entity Type | Organization
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Legal Business Name | HEALING PATH RECOVERY A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 02/19/2014
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Last Update Date | 02/19/2014
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Provider Practice Location Address
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Address Line | 366 SAN MIGUEL DR STE 310
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-7810
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Country | US
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Telephone | 949-706-5215
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Fax |
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Provider Business Mailing Address
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Address Line | 366 SAN MIGUEL DR STE 310
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-7810
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Country | US
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Telephone | 949-706-5215
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. ALI BEHESHTI
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Credential |
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Telephone | 619-929-7956
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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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