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General NPI Number Information
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NPI Number | 1407729171
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Entity Type | Organization
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Legal Business Name | BERMUDA RECOVERY CENTER INC
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Dates
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Enumeration Date | 09/27/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 21301 BERMUDA ST
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City | CHATSWORTH
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State | CA
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Zip | 91311-1429
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Country | US
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Telephone | 818-231-8054
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Fax |
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Provider Business Mailing Address
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Address Line | 21301 BERMUDA ST
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City | CHATSWORTH
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State | CA
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Zip | 91311-1429
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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 | CONSULTANT
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Name | MANNE OGANYAN
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Credential | MPA
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Telephone | 818-422-4004
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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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