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General NPI Number Information
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NPI Number | 1588042873
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Entity Type | Organization
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Legal Business Name | RNR RECOVERY INC
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Dates
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Enumeration Date | 05/07/2015
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Last Update Date | 05/07/2015
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Provider Practice Location Address
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Address Line | 29204 SHIPWRIGHT DR
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City | MENIFEE
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State | CA
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Zip | 92585-3433
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Country | US
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Telephone | 949-235-8258
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Fax | 866-703-9903
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Provider Business Mailing Address
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Address Line | 806 AVENIDA PICO SUITE I-284
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City | SAN CLEMENTE
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State | CA
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Zip | 92673-5639
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Country | US
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Telephone | 949-235-8258
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Fax | 866-703-9903
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Authorized Official
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Title or Position | COO
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Name | REINER NUSBAUM
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Credential |
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Telephone | 949-235-8258
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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 | 330126AP
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 330126AP
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 330126AP
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 330126AP
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 330126AP
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License Number State | CA
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