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General NPI Number Information
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NPI Number | 1841929940
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Entity Type | Organization
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Legal Business Name | SD HEALTH HOLDINGS
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Dates
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Enumeration Date | 06/06/2022
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Last Update Date | 06/06/2022
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Provider Practice Location Address
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Address Line | 5935 JOEL LN
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City | LA MESA
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State | CA
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Zip | 91942-4101
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Country | US
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Telephone | 954-641-5366
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Fax | 954-306-3886
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Provider Business Mailing Address
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Address Line | 3471 N FEDERAL HWY STE 410
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City | OAKLAND PARK
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State | FL
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Zip | 33306-1050
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Country | US
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Telephone | 954-641-5366
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Fax | 954-306-3886
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Authorized Official
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Title or Position | CEO
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Name | ERIC LEON
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Credential |
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Telephone | 954-641-5366
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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 |
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License Number State |
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