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General NPI Number Information
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NPI Number | 1699631382
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Entity Type | Organization
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Legal Business Name | CEDROS WELLNESS INC.
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Dates
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Enumeration Date | 12/26/2025
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Last Update Date | 12/26/2025
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Provider Practice Location Address
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Address Line | 4755 CEDROS AVE
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-2811
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Country | US
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Telephone | 818-300-0033
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Fax |
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Provider Business Mailing Address
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Address Line | 4755 CEDROS AVE
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-2811
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Country | US
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Telephone | 818-300-0033
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Fax |
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Authorized Official
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Title or Position | COMPLIANCE OFFICER
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Name | EMILY LAVIGNE
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Credential |
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Telephone | 818-318-0130
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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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