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General NPI Number Information
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NPI Number | 1629940879
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Entity Type | Organization
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Legal Business Name | TARZANA TREATMENT CENTER
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 18646 OXNARD ST
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City | TARZANA
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State | CA
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Zip | 91356-1411
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Country | US
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Telephone | 855-738-3939
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Fax |
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Provider Business Mailing Address
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Address Line | 17158 CHATSWORTH ST APT 2
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City | GRANADA HILLS
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State | CA
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Zip | 91344-5626
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Country | US
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Telephone | 323-738-2675
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Fax |
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Authorized Official
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Title or Position | LVN
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Name | SHERNNET VANCE
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Credential |
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Telephone | 323-738-2675
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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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