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General NPI Number Information
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NPI Number | 1124679998
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Entity Type | Organization
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Legal Business Name | RESOURCE RECOVERY CENTER OF ORANGE COUNTY LLC
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Dates
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Enumeration Date | 09/24/2019
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Last Update Date | 01/03/2020
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Provider Practice Location Address
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Address Line | 68 CRYSTAL RUN RD
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City | MIDDLETOWN
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State | NY
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Zip | 10941-7100
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Country | US
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Telephone | 845-209-3500
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Fax | 845-692-5847
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Provider Business Mailing Address
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Address Line | 20 SAW MILL RIVER RD
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City | HAWTHORNE
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State | NY
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Zip | 10532-1507
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. MIKE BENTSON
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Credential |
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Telephone | 845-209-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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