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General NPI Number Information
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NPI Number | 1073309860
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Entity Type | Organization
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Legal Business Name | RECOVER CLARITY LLC
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 2400 ANSYS DR STE 102
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City | CANONSBURG
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State | PA
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Zip | 15317-0403
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Country | US
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Telephone | 888-543-2230
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Fax |
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Provider Business Mailing Address
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Address Line | 147 SCHAFFER AVE
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City | CHARLEROI
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State | PA
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Zip | 15022-1124
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Country | US
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Telephone | 888-543-2230
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FRED BENJAMIN CULLER
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Credential |
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Telephone | 888-543-2230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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