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General NPI Number Information
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NPI Number | 1306350111
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Entity Type | Organization
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Legal Business Name | REFLECTIONS RECOVERY LLC
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Dates
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Enumeration Date | 12/01/2017
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Last Update Date | 12/01/2017
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Provider Practice Location Address
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Address Line | 17165 NEWHOPE ST STE M
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4230
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Country | US
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Telephone | 949-375-1128
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 51455
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City | LOS ANGELES
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State | CA
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Zip | 90051-6305
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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 | ACCOUNT COMPLIANCE MANAGER
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Name | TASHA SHEFFIELD
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Credential |
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Telephone | 561-708-6833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | CA
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