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General NPI Number Information
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NPI Number | 1598633695
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Entity Type | Organization
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Legal Business Name | BEIT T'SHUVAH
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Dates
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Enumeration Date | 10/29/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 8847 VENICE BLVD SUITE B
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City | LOS ANGELES
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State | CA
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Zip | 90034-3223
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Country | US
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Telephone | 310-204-5200
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Fax | 310-280-3684
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Provider Business Mailing Address
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Address Line | 8831 VENICE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90034-3223
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Country | US
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Telephone | 310-204-5200
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Fax | 310-280-3684
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Authorized Official
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Title or Position | DIRECTOR OF ADMISSIONS
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Name | LYSA K MAYBRUCK-HARRISON
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Credential | CADC-II
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Telephone | 310-204-5200
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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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