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General NPI Number Information
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NPI Number | 1134592405
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Entity Type | Organization
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Legal Business Name | OCEANS 6 REHAB, LLC
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Dates
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Enumeration Date | 11/09/2015
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Last Update Date | 11/09/2015
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Provider Practice Location Address
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Address Line | 33861 GRANADA DR
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City | DANA POINT
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State | CA
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Zip | 92629-2252
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Country | US
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Telephone | 949-441-4456
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Fax | 480-383-6983
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Provider Business Mailing Address
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Address Line | 33861 GRANADA DR
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City | DANA POINT
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State | CA
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Zip | 92629-2252
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Country | US
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Telephone | 949-441-4456
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Fax | 480-383-6983
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Authorized Official
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Title or Position | CEO
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Name | MR. DANIEL LEE CASE SR.
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Credential |
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Telephone | 949-441-4456
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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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