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NPI 1386209450

NPI 1386209450 : RAIN RECOVERY, INC. : ENCINO, CA

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General NPI Number Information
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    NPI Number           |    1386209450
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    Entity Type          |    Organization 
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    Legal Business Name  |    RAIN RECOVERY, INC. 
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Dates
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    Enumeration Date     |    05/04/2019
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    Last Update Date     |    11/16/2023
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Provider Practice Location Address
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    Address Line         |    16255 VENTURA BLVD STE 1212 
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    City                 |    ENCINO
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    State                |    CA
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    Zip                  |    91436-2320
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    Country              |    US
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    Telephone            |    818-631-0508
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1415 6TH AVE 
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    City                 |    ARCADIA
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    State                |    CA
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    Zip                  |    91006-2320
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    Country              |    US
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    Telephone            |    626-353-4798
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CHIEF FINANCIAL OFFICER
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    Name                 |     JASON  BARRETT 
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    Credential           |    
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    Telephone            |    626-353-4798
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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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