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General NPI Number Information
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NPI Number | 1134622749
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Entity Type | Organization
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Legal Business Name | LAKE HUGHES RECOVERY O P, INC.
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Dates
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Enumeration Date | 03/10/2018
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | 49713B GORMAN POST RD
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City | GORMAN
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State | CA
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Zip | 93243-9701
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Country | US
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Telephone | 661-724-0001
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Fax | 661-481-3392
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Provider Business Mailing Address
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Address Line | 28765 PINE CANYON RD
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City | LAKE HUGHES
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State | CA
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Zip | 93532-1046
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Country | US
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Telephone | 661-724-0001
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Fax | 661-482-3392
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Authorized Official
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Title or Position | CEO
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Name | MR. ALEXANDER FRANKIAN
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Credential |
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Telephone | 661-724-0001
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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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