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General NPI Number Information
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NPI Number | 1801327663
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Entity Type | Organization
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Legal Business Name | PARADIGM RECOVERY GROUP LLC
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Dates
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Enumeration Date | 03/23/2017
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Last Update Date | 03/23/2017
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Provider Practice Location Address
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Address Line | 601 E DAILY DR STE 205
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City | CAMARILLO
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State | CA
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Zip | 93010-5839
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Country | US
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Telephone | 184-438-8410
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Fax | 180-591-4063
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Provider Business Mailing Address
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Address Line | 601 E DAILY DR STE 205
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City | CAMARILLO
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State | CA
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Zip | 93010-5839
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Country | US
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Telephone | 184-438-8410
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Fax | 180-591-4063
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Authorized Official
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Title or Position | CEO
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Name | MR. JOHN CARL STENZEL
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Credential |
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Telephone | 184-438-8411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 06463665
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 06463665
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 06463665
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 06463665
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | 06463665
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 06463665
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License Number State | CA
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Taxonomy #7
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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 | 06463665
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number | 06463665
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License Number State | CA
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Taxonomy #9
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | 06463665
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License Number State | CA
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