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General NPI Number Information
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NPI Number | 1528759032
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Entity Type | Organization
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Legal Business Name | SOUL2SOUL RECOVERY CENTER LLC
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Dates
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Enumeration Date | 05/16/2023
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 14226 VENTURA BLVD
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2715
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Country | US
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Telephone | 818-355-5642
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Fax |
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Provider Business Mailing Address
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Address Line | 14226 VENTURA BLVD
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-2715
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Country | US
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Telephone | 818-355-5642
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ARTIN HAFTEVANI
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Credential |
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Telephone | 818-815-7117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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