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General NPI Number Information
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NPI Number | 1134064140
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Entity Type | Organization
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Legal Business Name | TUNNEL VISION RECOVERY LLC
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 1569 NW QUANAH RD
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City | CACHE
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State | OK
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Zip | 73527-4539
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Country | US
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Telephone | 949-523-1922
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Fax |
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Provider Business Mailing Address
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Address Line | 1320 NW HOMESTEAD DR STE G
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City | LAWTON
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State | OK
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Zip | 73505-5243
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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 | CEO
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Name | SEAN FARRELL
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Credential |
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Telephone | 580-781-1849
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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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