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General NPI Number Information
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NPI Number | 1104667609
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Entity Type | Organization
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Legal Business Name | ALTITUDE RECOVERY COMMUNITY NO. 3, LLC
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 363 LAS TUERO CT
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City | CAMARILLO
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State | CA
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Zip | 93010-8445
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Country | US
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Telephone | 661-600-5245
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Fax |
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Provider Business Mailing Address
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Address Line | 118 VIA SAN SEBASTIAN
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-3890
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Country | US
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Telephone | 661-600-5245
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Fax |
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Authorized Official
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Title or Position | COO
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Name | KIMBERLY NEUHALFEN
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Credential |
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Telephone | 805-427-0404
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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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