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General NPI Number Information
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NPI Number | 1295556207
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Entity Type | Organization
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Legal Business Name | CLEAR VISION TREATMENT CENTERS INC.
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 321 W HOBSONWAY STE A
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City | BLYTHE
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State | CA
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Zip | 92225-1651
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Country | US
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Telephone | 818-201-5199
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Fax | 818-294-7134
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Provider Business Mailing Address
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Address Line | 8007 BROADLEAF AVE
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City | PANORAMA CITY
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State | CA
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Zip | 91402-5401
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Country | US
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Telephone | 818-201-5199
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ARHUR KAZANCHIAN
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Credential |
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Telephone | 818-201-5199
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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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