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General NPI Number Information
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NPI Number | 1386361715
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Entity Type | Organization
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Legal Business Name | HEALTHRIGHT 360
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Dates
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Enumeration Date | 10/26/2022
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Last Update Date | 10/26/2022
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Provider Practice Location Address
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Address Line | 15405 LANSDOWNE RD
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City | TUSTIN
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State | CA
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Zip | 92782-0200
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Country | US
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Telephone | 714-732-2326
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Fax |
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Provider Business Mailing Address
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Address Line | 15405 LANSDOWNE RD
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City | TUSTIN
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State | CA
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Zip | 92782-0200
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Country | US
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Telephone | 714-732-2326
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | VITKA EISEN
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Credential |
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Telephone | 415-762-1558
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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