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General NPI Number Information
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NPI Number | 1275263576
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Entity Type | Organization
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Legal Business Name | WHR IOP LLC
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Dates
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Enumeration Date | 06/10/2022
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Last Update Date | 03/31/2023
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Provider Practice Location Address
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Address Line | 1000 NEWBURY RD
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City | NEWBURY PARK
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State | CA
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Zip | 91320-6435
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Country | US
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Telephone | 800-510-5393
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Fax |
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Provider Business Mailing Address
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Address Line | 9251 NOTRE DAME AVE
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City | CHATSWORTH
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State | CA
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Zip | 91311-6343
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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 | CEO
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Name | KYLE PEREZ
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Credential |
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Telephone | 310-876-4681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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License Number |
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License Number State |
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Taxonomy #3
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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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