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General NPI Number Information
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NPI Number | 1760221055
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Entity Type | Organization
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Legal Business Name | NORTH STAR TREATMENT LLC
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Dates
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Enumeration Date | 05/24/2024
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 27772 CAMINO LAS RAMBLAS
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-5219
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Country | US
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Telephone | 949-683-8721
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Fax |
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Provider Business Mailing Address
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Address Line | 28202 CABOT RD STE 505
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-1271
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Country | US
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Telephone | 949-683-8721
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ROBERT LEIGH
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Credential |
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Telephone | 949-683-8721
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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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