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General NPI Number Information
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NPI Number | 1982561270
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Entity Type | Organization
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Legal Business Name | COMMUNITY WELL RECUPERATIVE CARE
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 1411 E MAIN ST STE 202
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City | SANTA MARIA
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State | CA
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Zip | 93454-4811
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Country | US
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Telephone | 805-888-8113
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Fax | 424-361-7766
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Provider Business Mailing Address
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Address Line | 1411 E MAIN ST STE 202
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City | SANTA MARIA
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State | CA
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Zip | 93454-4811
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Country | US
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Telephone | 805-888-8113
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Fax | 424-361-7766
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JENNIFER RENEE PORTER
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Credential |
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Telephone | 805-888-8113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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