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General NPI Number Information
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NPI Number | 1295691269
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Entity Type | Organization
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Legal Business Name | RECOVERY BEACH
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Dates
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Enumeration Date | 01/02/2026
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 13212 CHAPMAN AVE
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City | GARDEN GROVE
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State | CA
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Zip | 92840-4414
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Country | US
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Telephone | 714-703-9492
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Fax |
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Provider Business Mailing Address
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Address Line | 6 PLUMERIA
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City | IRVINE
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State | CA
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Zip | 92620-7901
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Country | US
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Telephone | 949-656-0531
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Fax |
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Authorized Official
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Title or Position | BEHAVIORAL HEALTH TECHNICIAN
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Name | ELYSE ANH KHUE TRAN
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Credential |
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Telephone | 949-656-0531
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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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