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General NPI Number Information
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NPI Number | 1033658786
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Entity Type | Organization
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Legal Business Name | ACCESS 2 RECOVERY, LLC
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Dates
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Enumeration Date | 02/14/2017
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Last Update Date | 02/14/2017
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Provider Practice Location Address
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Address Line | 105 W MOORE AVE
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City | TERRELL
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State | TX
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Zip | 75160-3113
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Country | US
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Telephone | 972-210-7504
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Fax |
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Provider Business Mailing Address
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Address Line | 105 W MOORE AVE
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City | TERRELL
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State | TX
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Zip | 75160-3113
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Country | US
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Telephone | 972-210-7504
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | LORI ANN CROW
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Credential | LCDC
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Telephone | 972-210-7504
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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 | 10991
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License Number State | TX
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