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General NPI Number Information
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NPI Number | 1770464497
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Entity Type | Organization
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Legal Business Name | OPTIMA INSTITUTE OF HEALING AND RECOVERY
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 1389 GALLERIA DR STE 110
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City | HENDERSON
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State | NV
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Zip | 89014-6686
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Country | US
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Telephone | 702-329-3370
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Fax |
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Provider Business Mailing Address
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Address Line | 1389 GALLERIA DR STE 110
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City | HENDERSON
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State | NV
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Zip | 89014-6686
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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 | PRESIDENT AND COO
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Name | JASON SMITH
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Credential |
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Telephone | 805-550-3837
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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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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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