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General NPI Number Information
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NPI Number | 1033810916
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Entity Type | Organization
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Legal Business Name | THE PEARL RECOVERY CENTER
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Dates
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Enumeration Date | 03/16/2023
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 125 UPPER ELGIN RIVER RD
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City | ELGIN
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State | TX
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Zip | 78621-5604
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Country | US
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Telephone | 850-750-8422
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Fax |
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Provider Business Mailing Address
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Address Line | 125 UPPER ELGIN RIVER RD
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City | ELGIN
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State | TX
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Zip | 78621-5604
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Country | US
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Telephone | 850-750-8422
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | TIM MAY
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Credential |
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Telephone | 512-661-2197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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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