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General NPI Number Information
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NPI Number | 1235620113
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Entity Type | Organization
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Legal Business Name | OROVILLE MANAGEMENT LLC
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Dates
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Enumeration Date | 05/25/2018
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Last Update Date | 05/23/2022
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Provider Practice Location Address
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Address Line | 26126 OROVILLE PL
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-6315
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Country | US
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Telephone | 949-340-6688
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Fax | 888-505-3816
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Provider Business Mailing Address
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Address Line | 30251 GOLDEN LANTERN STE E-415
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-5993
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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
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Name | MARCEE PATRICK
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Credential |
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Telephone | 494-339-5222
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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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