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General NPI Number Information
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NPI Number | 1639719131
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Entity Type | Organization
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Legal Business Name | REBEL NEW LIFE TREATMENT CENTER, LLC.
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Dates
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Enumeration Date | 01/13/2020
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Last Update Date | 01/13/2020
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Provider Practice Location Address
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Address Line | 2309 E SYCAMORE ST
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City | ANAHEIM
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State | CA
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Zip | 92806-3020
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Country | US
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Telephone | 714-507-6867
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Fax |
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Provider Business Mailing Address
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Address Line | 2309 E SYCAMORE ST
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City | ANAHEIM
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State | CA
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Zip | 92806-3020
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Country | US
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Telephone | 714-507-6867
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | TRICIA PEREZ
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Credential |
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Telephone | 714-507-6867
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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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