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General NPI Number Information
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NPI Number | 1700265089
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Entity Type | Organization
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Legal Business Name | ARCADIA RECOVERY CENTER
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Dates
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Enumeration Date | 05/20/2015
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Last Update Date | 05/20/2015
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Provider Practice Location Address
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Address Line | 1188 VICTORIAN PLAZA CIR
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City | SPARKS
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State | NV
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Zip | 89431-4943
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Country | US
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Telephone | 800-535-9041
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Fax | 877-898-8799
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Provider Business Mailing Address
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Address Line | 1188 VICTORIAN PLAZA CIR
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City | SPARKS
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State | NV
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Zip | 89431-4943
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Country | US
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Telephone | 800-535-9041
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Fax | 877-898-8799
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Authorized Official
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Title or Position | CEO
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Name | MR. DUSTIN LONG
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Credential | RAS
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Telephone | 801-709-9419
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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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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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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 | NV
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Taxonomy #5
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State | NV
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Taxonomy #6
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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 | NV
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