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General NPI Number Information
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NPI Number | 1992441364
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Entity Type | Organization
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Legal Business Name | MONARCH RECOVERY STC LLC
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Dates
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Enumeration Date | 05/09/2022
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 2660 E MAIN ST STE 204
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City | VENTURA
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State | CA
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Zip | 93003-2777
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Country | US
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Telephone | 805-850-2686
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Fax |
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Provider Business Mailing Address
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Address Line | 2759 SAILOR AVE
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City | VENTURA
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State | CA
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Zip | 93001-4159
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Country | US
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Telephone | 805-850-2686
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. SHAUN BELANGER
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Credential |
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Telephone | 805-850-2686
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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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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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