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General NPI Number Information
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NPI Number | 1225740046
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Entity Type | Organization
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Legal Business Name | WALK IN AND WIN, LLC
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Dates
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Enumeration Date | 12/23/2022
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 15826 E QUEENSIDE DR
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City | COVINA
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State | CA
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Zip | 91722-2227
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Country | US
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Telephone | 657-263-4998
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Fax |
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Provider Business Mailing Address
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Address Line | 15826 E QUEENSIDE DR
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City | COVINA
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State | CA
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Zip | 91722-2227
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Country | US
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Telephone | 949-280-8360
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JEFFREY CONROY
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Credential |
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Telephone | 949-280-8360
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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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