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General NPI Number Information
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NPI Number | 1396553152
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Entity Type | Organization
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Legal Business Name | BLUE SKIES TREATMENT CENTER LLC
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Dates
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Enumeration Date | 12/26/2024
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 8227 LINDANTE DR
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City | WHITTIER
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State | CA
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Zip | 90603-1011
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Country | US
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Telephone | 562-665-4571
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9047
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City | WHITTIER
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State | CA
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Zip | 90608-9047
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Country | US
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Telephone | 213-925-4862
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Fax |
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | JONATHAN BARRERA
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Credential |
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Telephone | 213-925-4862
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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