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General NPI Number Information
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NPI Number | 1275344996
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Entity Type | Organization
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Legal Business Name | CLEAR INNOVATIONS LLC
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 568 E 224TH ST
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City | CARSON
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State | CA
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Zip | 90745-4002
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Country | US
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Telephone | 800-347-4656
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Fax |
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Provider Business Mailing Address
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Address Line | 568 E 224TH ST
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City | CARSON
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State | CA
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Zip | 90745-4002
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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 | PRESIDENT
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Name | MR. GARY SARRIA
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Credential |
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Telephone | 800-347-4656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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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 | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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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 | 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 #4
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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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