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NPI 1417584087

NPI 1417584087 : NEW CHAPTER RECOVERY : NORTHRIDGE, CA

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General NPI Number Information
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    NPI Number           |    1417584087
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW CHAPTER RECOVERY 
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Dates
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    Enumeration Date     |    03/24/2020
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    Last Update Date     |    04/25/2025
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Provider Practice Location Address
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    Address Line         |    18635 MALDEN ST 
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    City                 |    NORTHRIDGE
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    State                |    CA
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    Zip                  |    91324-4618
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    Country              |    US
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    Telephone            |    310-795-4066
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    18635 MALDEN ST 
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    City                 |    NORTHRIDGE
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    State                |    CA
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    Zip                  |    91324-4618
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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    |    UNKNOWN
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    Name                 |     UNKNOWN  UNKNOWN 
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    Credential           |    
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    Telephone            |    310-555-1212
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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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