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General NPI Number Information
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NPI Number | 1205664604
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Entity Type | Organization
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Legal Business Name | REAMP CARE SOCAL WEST LLC
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Dates
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Enumeration Date | 07/25/2024
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 39158 VISTA DEL BOSQUE
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City | MURRIETA
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State | CA
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Zip | 92562-8606
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Country | US
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Telephone | 562-455-7154
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Fax |
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Provider Business Mailing Address
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Address Line | 11770 WARNER AVE STE 126
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-2660
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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 | OWNER/OPERATOR
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Name | JASON SANTOS
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Credential |
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Telephone | 562-455-7154
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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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