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General NPI Number Information
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NPI Number | 1669991568
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Entity Type | Organization
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Legal Business Name | NEXUS RECOVERY SERVICES, LLC
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Dates
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Enumeration Date | 09/12/2017
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Last Update Date | 09/25/2017
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Provider Practice Location Address
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Address Line | 11515 WASHINGTON BLVD
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City | CULVER CITY
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State | CA
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Zip | 90066
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Country | US
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Telephone | 310-994-3093
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Fax |
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Provider Business Mailing Address
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Address Line | 11515 WASHINGTON BLVD
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City | CULVER CITY
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State | CA
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Zip | 90066-5913
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | HALIM DANIEL
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Credential |
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Telephone | 310-994-3093
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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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