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General NPI Number Information
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NPI Number | 1215757836
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Entity Type | Organization
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Legal Business Name | RESTORATION AND RECOVERY, LLC
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Dates
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Enumeration Date | 10/17/2024
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 7495 W AZURE DR STE 246
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City | LAS VEGAS
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State | NV
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Zip | 89130-4436
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Country | US
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Telephone | 702-302-4288
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Fax |
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Provider Business Mailing Address
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Address Line | 7495 W AZURE DR STE 246
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City | LAS VEGAS
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State | NV
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Zip | 89130-4436
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Country | US
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Telephone | 702-302-4288
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Fax |
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Authorized Official
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Title or Position | OWNERS
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Name | MARIVELLE NUNEZ
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Credential |
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Telephone | 702-302-4288
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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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