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General NPI Number Information
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NPI Number | 1063091684
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Entity Type | Organization
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Legal Business Name | RECOUP PLUS RELIEF COUNSELING & THERAPEUTIC SERVICES COMMA LLC
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Dates
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Enumeration Date | 04/02/2021
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 803 E WASHINGTON ST STE 200
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City | MEDINA
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State | OH
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Zip | 44256-3326
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Country | US
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Telephone | 330-636-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 803 E WASHINGTON ST STE 200
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City | MEDINA
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State | OH
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Zip | 44256-3326
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Country | US
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Telephone | 330-636-5000
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DEREKA FEILER
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Credential |
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Telephone | 330-636-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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