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General NPI Number Information
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NPI Number | 1669228995
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Entity Type | Organization
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Legal Business Name | MINUTE BY MINUTE SOBER HOUSING
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Dates
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Enumeration Date | 04/26/2024
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 30015 ROSE BLOSSOM DR
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City | MURRIETA
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State | CA
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Zip | 92563-4733
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Country | US
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Telephone | 760-969-9291
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Fax |
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Provider Business Mailing Address
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Address Line | 16320 STEVENS AVE
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City | LAKE ELSINORE
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State | CA
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Zip | 92530-5035
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Country | US
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Telephone | 760-917-2090
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. LEONARD H REDMAN
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Credential |
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Telephone | 760-917-2090
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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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Taxonomy #2
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State |
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