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General NPI Number Information
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NPI Number | 1275339236
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Entity Type | Organization
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Legal Business Name | SOTERRA HEALTH, LLC
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 10127 COLUMBUS AVE
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City | MISSION HILLS
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State | CA
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Zip | 91345-2719
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Country | US
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Telephone | 818-472-0846
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3235
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City | CHATSWORTH
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State | CA
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Zip | 91313-3235
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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 | RAFFI OKNAIAN
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Credential |
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Telephone | 818-472-0846
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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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