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General NPI Number Information
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NPI Number | 1891246716
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Entity Type | Organization
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Legal Business Name | ALIVE RECOVERY, INC.
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Dates
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Enumeration Date | 10/14/2016
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 26579 EVERGREEN AVE.
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City | MURRIETA
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State | CA
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Zip | 92563
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Country | US
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Telephone | 951-386-2002
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Fax | 951-848-0949
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Provider Business Mailing Address
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Address Line | 27636 YNEZ RD., STE. L7-219
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City | TEMECULA
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State | CA
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Zip | 92591
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Country | US
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Telephone | 951-234-4817
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Fax | 951-848-0949
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | LYNNE DEJONG
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Credential |
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Telephone | 951-234-4817
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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 |
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License Number State |
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