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General NPI Number Information
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NPI Number | 1265344477
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Entity Type | Organization
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Legal Business Name | BAY AREA RECOVERY LLC
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Dates
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Enumeration Date | 09/22/2026
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Last Update Date | 09/22/2026
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Provider Practice Location Address
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Address Line | 51 MORAGA WAY STE 6
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City | ORINDA
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State | CA
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Zip | 94563-3037
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Country | US
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Telephone | 925-399-4744
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Fax |
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Provider Business Mailing Address
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Address Line | 51 MORAGA WAY STE 6
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City | ORINDA
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State | CA
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Zip | 94563-3037
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Country | US
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Telephone | 925-399-4744
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTION
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Name | EILEEN NICHOLS
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Credential | MA
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Telephone | 415-996-3956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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