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General NPI Number Information
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NPI Number | 1609385764
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Entity Type | Organization
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Legal Business Name | AMERICAN CARE RECOVERY CENTER, LLC
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Dates
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Enumeration Date | 09/21/2017
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Last Update Date | 09/21/2017
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Provider Practice Location Address
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Address Line | 1248 ROCKY RD
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City | SIMI VALLEY
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State | CA
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Zip | 93063-4835
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Country | US
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Telephone | 818-439-3518
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Fax |
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Provider Business Mailing Address
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Address Line | 10525 CHURCHILL AVE
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City | CHATSWORTH
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State | CA
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Zip | 91311-2231
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Country | US
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Telephone | 818-439-3518
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAMELLA R BABAYOVA
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Credential |
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Telephone | 818-439-3815
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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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