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General NPI Number Information
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NPI Number | 1467222505
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Entity Type | Organization
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Legal Business Name | TCSRZS HOLDINGS LLC
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 06/28/2024
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Provider Practice Location Address
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Address Line | 6766 PORTSHEAD RD
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City | MALIBU
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State | CA
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Zip | 90265-4262
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Country | US
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Telephone | 805-912-6363
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Fax |
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Provider Business Mailing Address
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Address Line | 6312 S FIDDLERS GREEN CIR STE 300E
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4831
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Country | US
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Telephone | 805-912-6363
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MR. LOUIS CALECA
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Credential |
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Telephone | 303-960-8842
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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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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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