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General NPI Number Information
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NPI Number | 1104372663
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Entity Type | Organization
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Legal Business Name | ACCESS RECOVERY, LLC
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Dates
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Enumeration Date | 08/25/2016
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Last Update Date | 08/25/2016
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Provider Practice Location Address
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Address Line | 31 SE OCEAN BLVD
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City | STUART
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State | FL
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Zip | 34994-2214
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Country | US
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Telephone | 844-742-7669
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Fax |
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Provider Business Mailing Address
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Address Line | 31 SE OCEAN BLVD
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City | STUART
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State | FL
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Zip | 34994-2214
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Country | US
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Telephone | 844-742-7669
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | MR. ROBERT JOSEPH SENESE SR.
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Credential |
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Telephone | 917-600-8536
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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 | FL
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