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General NPI Number Information
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NPI Number | 1487242152
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Entity Type | Organization
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Legal Business Name | RHEMA REHABILITATION CENTERS
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Dates
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Enumeration Date | 01/07/2021
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Last Update Date | 01/07/2021
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Provider Practice Location Address
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Address Line | 2069 INYO ST
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City | MOJAVE
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State | CA
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Zip | 93501-1755
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Country | US
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Telephone | 661-754-1009
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Fax |
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Provider Business Mailing Address
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Address Line | 17012 ROPER ST
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City | MOJAVE
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State | CA
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Zip | 93501-1689
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Country | US
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Telephone | 661-754-1009
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Fax |
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Authorized Official
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Title or Position | CONSULTANT
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Name | MR. THEODORE CHARLES JR.
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Credential |
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Telephone | 323-485-6842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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