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General NPI Number Information
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NPI Number | 1992673339
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Entity Type | Organization
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Legal Business Name | EXODUS RECOVERY, INC.
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Dates
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Enumeration Date | 10/27/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 3996 VISTA WAY
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City | OCEANSIDE
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State | CA
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Zip | 92056-4507
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Country | US
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Telephone | 760-210-4240
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Fax | 760-867-4291
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Provider Business Mailing Address
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Address Line | 9808 VENICE BLVD STE 700
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City | CULVER CITY
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State | CA
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Zip | 90232-6824
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Country | US
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Telephone | 310-945-3350
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Fax | 310-945-3355
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Authorized Official
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Title or Position | COO/CFO
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Name | LEEANN SKOROHOD
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Credential |
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Telephone | 310-945-3350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State |
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