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General NPI Number Information
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NPI Number | 1417490699
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Entity Type | Organization
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Legal Business Name | SATORI RECOVERY CENTER, LLC
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Dates
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Enumeration Date | 11/21/2016
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Last Update Date | 07/24/2019
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Provider Practice Location Address
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Address Line | 2260 PARK AVE
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City | LAGUNA BEACH
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State | CA
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Zip | 92651-2220
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Country | US
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Telephone | 949-495-4305
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Fax |
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Provider Business Mailing Address
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Address Line | 15 MAREBLU SUITE.350
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City | ALISO VIEJO
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State | CA
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Zip | 92656-3015
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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 | CEO
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Name | GREG BROWN
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Credential |
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Telephone | 949-510-5574
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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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