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General NPI Number Information
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NPI Number | 1083584387
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Entity Type | Organization
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Legal Business Name | THRIVEWELL RECOVERY CENTERS VA LLC
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 9900 MAIN ST STE 200
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City | FAIRFAX
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State | VA
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Zip | 22031-3907
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Country | US
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Telephone | 347-903-9667
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Fax |
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Provider Business Mailing Address
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Address Line | 475 OBERLIN AVE S STE 6
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City | LAKEWOOD
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State | NJ
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Zip | 08701-7024
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Country | US
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Telephone | 347-903-9667
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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 | YEHUDA KAPLAN
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Credential |
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Telephone | 917-648-3409
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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 | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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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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