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General NPI Number Information
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NPI Number | 1316647399
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Entity Type | Organization
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Legal Business Name | TRANQUILITY REHAB, LLC
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Dates
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Enumeration Date | 03/07/2023
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 25872 FIVE CANYONS PKWY
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City | HAYWARD
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State | CA
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Zip | 94552-5544
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Country | US
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Telephone | 510-552-2288
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Fax |
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Provider Business Mailing Address
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Address Line | 25872 FIVE CANYONS PKWY
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City | HAYWARD
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State | CA
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Zip | 94552-5544
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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 | BILLING MANAGER
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Name | TERI ROGERS
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Credential |
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Telephone | 949-201-8831
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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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