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General NPI Number Information
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NPI Number | 1831556752
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Entity Type | Organization
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Legal Business Name | A TELEIOS RECOVERY
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Dates
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Enumeration Date | 01/22/2016
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Last Update Date | 01/22/2016
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Provider Practice Location Address
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Address Line | 6879 N ORACLE RD SUITE 125
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City | TUCSON
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State | AZ
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Zip | 85704-4284
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Country | US
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Telephone | 520-620-9188
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Fax |
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Provider Business Mailing Address
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Address Line | 6879 N ORACLE RD SUITE 125
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City | TUCSON
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State | AZ
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Zip | 85704-4284
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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 | CEO
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Name | DR. WENHUI CAI
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Credential | MD
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Telephone | 520-576-7715
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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 | OTC7458
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License Number State | AZ
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