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General NPI Number Information
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NPI Number | 1659229805
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Entity Type | Organization
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Legal Business Name | RECOVERY STANDARDS CONSULTING & SUPERVISION, LLC
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Dates
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Enumeration Date | 03/20/2026
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Last Update Date | 03/20/2026
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Provider Practice Location Address
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Address Line | 11520 MENLO AVE APT 20
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City | HAWTHORNE
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State | CA
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Zip | 90250-2515
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Country | US
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Telephone | 323-376-1089
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Fax |
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Provider Business Mailing Address
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Address Line | 11520 MENLO AVE APT 20
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City | HAWTHORNE
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State | CA
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Zip | 90250-2515
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Country | US
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Telephone | 323-376-1089
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | STEVEN BOLDEN
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Credential | MRAS, CCAPP
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Telephone | 323-376-1089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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