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General NPI Number Information
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NPI Number | 1093632259
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Entity Type | Organization
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Legal Business Name | DOUBLE PEAK RECOVERY LLC
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 422 S SPRUCE ST
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City | ESCONDIDO
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State | CA
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Zip | 92025-4050
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Country | US
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Telephone | 619-709-9232
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Fax |
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Provider Business Mailing Address
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Address Line | 723 LEEWARD AVE
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City | SAN MARCOS
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State | CA
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Zip | 92078-0925
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CONNOR NUTTALL
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Credential |
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Telephone | 714-618-5797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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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 |
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License Number State |
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