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General NPI Number Information
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NPI Number | 1033835814
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Entity Type | Organization
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Legal Business Name | CARE RECOVERY, LLC
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Dates
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Enumeration Date | 10/13/2022
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 4345 BAINTREE RD
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City | UNIVERSITY HEIGHTS
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State | OH
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Zip | 44118-3930
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Country | US
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Telephone | 781-608-1487
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Fax |
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Provider Business Mailing Address
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Address Line | 4345 BAINTREE RD
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City | UNIVERSITY HEIGHTS
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State | OH
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Zip | 44118-3930
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Country | US
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Telephone | 740-338-2273
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ADAM CUSNER
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Credential | PHD
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Telephone | 740-338-2273
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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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