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General NPI Number Information
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NPI Number | 1821295593
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Entity Type | Organization
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Legal Business Name | CHANDLER TREATMENT CENTER
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12120 CHANDLER BLVD
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91607-2002
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Country | US
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Telephone | 818-487-0770
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Fax | 818-487-0771
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Provider Business Mailing Address
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Address Line | 12120 CHANDLER BLVD
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91607-2002
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Country | US
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Telephone | 818-487-0770
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Fax | 818-487-0771
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MR. ALEJANDRO A SALDANA
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Credential |
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Telephone | 818-487-0770
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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 | 190514AP
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License Number State | CA
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