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General NPI Number Information
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NPI Number | 1598459869
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Entity Type | Organization
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Legal Business Name | WORTHY RECOVERY CENTER, LLC
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Dates
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Enumeration Date | 06/07/2023
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 2562 STATE ST STE D
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City | CARLSBAD
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State | CA
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Zip | 92008-1663
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Country | US
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Telephone | 760-579-2642
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 459
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City | CARLSBAD
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State | CA
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Zip | 92018-0459
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Country | US
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Telephone | 760-579-2642
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MR. SALVADOR MENDOZA
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Credential |
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Telephone | 760-579-2642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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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 | 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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