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General NPI Number Information
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NPI Number | 1326931122
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Entity Type | Organization
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Legal Business Name | NABOR-HOOD RECOVERY
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 5500 E ATHERTON ST STE 326
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City | LONG BEACH
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State | CA
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Zip | 90815-4025
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Country | US
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Telephone | 714-323-4499
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Fax | 714-323-4499
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Provider Business Mailing Address
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Address Line | 820 REDONDO AVE APT 208
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City | LONG BEACH
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State | CA
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Zip | 90804-5191
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Country | US
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Telephone | 714-323-4499
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | NICOLE NABOR
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Credential | RD
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Telephone | 714-323-4499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State |
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