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General NPI Number Information
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NPI Number | 1477096329
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Entity Type | Organization
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Legal Business Name | GUIDED LANDINGS TREATMENT LLC
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Dates
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Enumeration Date | 11/27/2016
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Last Update Date | 11/27/2016
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Provider Practice Location Address
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Address Line | 41750 RANCHO LAS PALMAS DR SUITE B1
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-5511
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Country | US
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Telephone | 760-289-9123
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Fax | 760-674-8999
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Provider Business Mailing Address
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Address Line | 41750 RANCHO LAS PALMAS DR SUITE B1
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-5511
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Country | US
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Telephone | 760-289-9123
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Fax | 760-674-8999
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Authorized Official
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Title or Position | CEO
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Name | MR. JOSEPH ANTHONY DUBOIS
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Credential | MS
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Telephone | 760-641-4024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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