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General NPI Number Information
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NPI Number | 1205234507
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Entity Type | Organization
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Legal Business Name | PILLARS RECOVERY LLC
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Dates
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Enumeration Date | 12/18/2014
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Last Update Date | 06/23/2016
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Provider Practice Location Address
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Address Line | 304 MARGUERITE AVE
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City | CORONA DEL MAR
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State | CA
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Zip | 92625-3071
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Country | US
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Telephone | 949-610-9360
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 986
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City | CORONA DEL MAR
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State | CA
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Zip | 92625-5986
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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 | EXEC
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Name | MR. DARREN ORLOFF
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Credential |
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Telephone | 949-610-9360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | 300312AP
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License Number State | CA
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