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General NPI Number Information
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NPI Number | 1750194411
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Entity Type | Organization
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Legal Business Name | LONGVIEW RECOVERY LLC
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 250 SHADOW MOUNTAIN RD
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City | TAOS
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State | NM
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Zip | 87571
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Country | US
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Telephone | 210-480-1219
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Fax |
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Provider Business Mailing Address
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Address Line | 30 PEMBROKE LN
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-9333
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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 | OWNER/FOUNDER
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Name | MR. ROBERT J HOLUB
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Credential |
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Telephone | 210-480-1219
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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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