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General NPI Number Information
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NPI Number | 1013165281
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Entity Type | Organization
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Legal Business Name | A AA TREATMENT CENTERS, LLC
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Dates
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Enumeration Date | 08/30/2008
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Last Update Date | 08/30/2008
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Provider Practice Location Address
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Address Line | 1773 S 8TH ST SUITE 200
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City | COLORADO SPRINGS
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State | CO
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Zip | 80905-7917
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Country | US
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Telephone | 719-520-9220
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Fax | 719-630-8210
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Provider Business Mailing Address
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Address Line | 1773 S 8TH ST SUITE 200
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City | COLORADO SPRINGS
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State | CO
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Zip | 80905-7917
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Country | US
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Telephone | 719-520-9220
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Fax | 719-630-8210
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MR. ROYAL W RALL SR.
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Credential | CAC III
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Telephone | 719-520-9220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1594-01
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License Number State | CO
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