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General NPI Number Information
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NPI Number | 1295377570
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Entity Type | Organization
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Legal Business Name | DAYLIGHT RECOVERY SERVICES, LLC
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Dates
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Enumeration Date | 10/08/2019
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Last Update Date | 10/08/2019
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Provider Practice Location Address
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Address Line | 518 QUEENSLAND CIR STE 101
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City | CORONA
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State | CA
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Zip | 92879-1381
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Country | US
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Telephone | 833-232-9544
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Fax |
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Provider Business Mailing Address
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Address Line | 160 W FOOTHILL PKWY STE 105-186
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City | CORONA
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State | CA
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Zip | 92882-8545
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Country | US
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Telephone | 833-232-9544
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CHRISTY L. DAY
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Credential |
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Telephone | 909-643-9578
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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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Taxonomy #2
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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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