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General NPI Number Information
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NPI Number | 1982494340
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Entity Type | Organization
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Legal Business Name | XARA RECOVERY
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 8813 RESEDA BLVD
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City | NORTHRIDGE
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State | CA
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Zip | 91324-4040
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Country | US
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Telephone | 918-384-9937
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Fax |
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Provider Business Mailing Address
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Address Line | 8813 RESEDA BLVD
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City | NORTHRIDGE
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State | CA
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Zip | 91324-4040
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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 | VP
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Name | TAYLOR ANDREA AL-ALAWNEH
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Credential |
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Telephone | 918-812-0004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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