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General NPI Number Information
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NPI Number | 1124019468
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Entity Type | Organization
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Legal Business Name | RECOVERY IN COMMUNITY, INC
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Dates
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Enumeration Date | 11/04/2005
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Last Update Date | 09/09/2009
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Provider Practice Location Address
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Address Line | 31 N FULTON AVE
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City | BALTIMORE
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State | MD
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Zip | 21223-1623
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Country | US
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Telephone | 410-362-1400
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Fax | 410-362-1516
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Provider Business Mailing Address
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Address Line | 31 N FULTON AVE
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City | BALTIMORE
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State | MD
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Zip | 21223-1623
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Country | US
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Telephone | 410-362-1400
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Fax | 140-362-1615
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. LENA M FRANKLIN
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Credential |
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Telephone | 410-362-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 12759
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License Number State | MD
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