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General NPI Number Information
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NPI Number | 1841846946
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Entity Type | Organization
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Legal Business Name | RYLIST, INC.
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Dates
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Enumeration Date | 08/14/2019
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 779 BRIAR CLIFF RD
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-5130
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Country | US
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Telephone | 833-239-3552
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Fax |
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Provider Business Mailing Address
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Address Line | 155 E WILBUR RD
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-7935
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Country | US
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Telephone | 805-852-1267
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | JULIE LOVIER
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Credential |
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Telephone | 805-852-1267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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