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General NPI Number Information
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NPI Number | 1578056560
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Entity Type | Organization
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Legal Business Name | RECOVERY SANTA BARBARA, INC.
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Dates
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Enumeration Date | 06/13/2018
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Last Update Date | 06/13/2018
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Provider Practice Location Address
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Address Line | 1532 CASTILLO STREET MAIN HOUSE AND UNITS A AND B
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City | SANTA BARBARA
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State | CA
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Zip | 93101
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Country | US
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Telephone | 805-364-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 1532 CASTILLO STREET MAIN HOUSE AND UNITS A AND B
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City | SANTA BARBARA
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State | CA
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Zip | 93101
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Country | US
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Telephone | 805-364-2727
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND OWNER
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Name | COURTNEY TRACY
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Credential | MSW
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Telephone | 805-364-2614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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