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General NPI Number Information
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NPI Number | 1477040772
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Entity Type | Organization
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Legal Business Name | SYSTEM 3 RECOVERY, INC.
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Dates
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Enumeration Date | 04/23/2018
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Last Update Date | 04/23/2018
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Provider Practice Location Address
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Address Line | 5343 SHIRLEY AVE
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City | TARZANA
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State | CA
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Zip | 91356
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Country | US
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Telephone | 818-600-8604
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Fax |
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Provider Business Mailing Address
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Address Line | 5343 SHIRLEY AVE
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City | TARZANA
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State | CA
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Zip | 91356-2908
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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 | DIRECTOR/CO-OWNER
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Name | MR. ARI LABOWITZ
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Credential | LMFT
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Telephone | 323-205-5019
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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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