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General NPI Number Information
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NPI Number | 1588550156
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Entity Type | Organization
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Legal Business Name | SACRAMENTO ADDICTION REHAB LLC
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 2011 KAILA WAY
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City | EL DORADO HILLS
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State | CA
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Zip | 95762-9406
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Country | US
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Telephone | 858-342-9151
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1483
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City | RANCHO SANTA FE
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State | CA
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Zip | 92067-1483
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Country | US
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Telephone | 858-342-9151
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | MR. YARON ABED
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Credential |
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Telephone | 858-342-9151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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