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General NPI Number Information
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NPI Number | 1598217135
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Entity Type | Organization
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Legal Business Name | RECOVERY PARTNERS, P.C.
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Dates
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Enumeration Date | 10/31/2016
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Last Update Date | 10/31/2016
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Provider Practice Location Address
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Address Line | 11720 EL CAMINO REAL SUITE 200
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City | SAN DIEGO
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State | CA
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Zip | 92130-2224
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Country | US
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Telephone | 858-766-9980
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Fax |
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Provider Business Mailing Address
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Address Line | 11720 EL CAMINO REAL SUITE 200
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City | SAN DIEGO
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State | CA
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Zip | 92130-2224
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Country | US
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Telephone | 858-766-9980
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. MARVIN D SEPPALA
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Credential | MD
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Telephone | 858-766-9980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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