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General NPI Number Information
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NPI Number | 1013717941
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Entity Type | Organization
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Legal Business Name | REAL RECOVERY SOLUTIONS LLC
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 5352 GULF DR
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-3920
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Country | US
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Telephone | 813-945-7922
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Fax | 813-565-9110
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Provider Business Mailing Address
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Address Line | 14702 N FLORIDA AVE STE 200
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City | TAMPA
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State | FL
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Zip | 33613-1822
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Country | US
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Telephone | 813-554-9880
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | CARLOS E ESCOBAR
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Credential | LMHC
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Telephone | 727-351-1978
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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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