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General NPI Number Information
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NPI Number | 1205553278
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Entity Type | Organization
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Legal Business Name | CALI RECOVERY INC.
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Dates
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Enumeration Date | 10/20/2022
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Last Update Date | 04/18/2023
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Provider Practice Location Address
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Address Line | 4712 WOODMAN AVE
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2416
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Country | US
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Telephone | 818-220-3089
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Fax |
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Provider Business Mailing Address
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Address Line | 4712 WOODMAN AVE
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2416
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Country | US
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Telephone | 818-220-3089
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ARMAN TANGABEKYAN
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Credential |
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Telephone | 818-900-0200
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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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