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General NPI Number Information
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NPI Number | 1134086820
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Entity Type | Organization
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Legal Business Name | SMITH'S SOBER LIVING HOUSE
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 1462 W LEXINGTON AVE
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City | WINCHESTER
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State | KY
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Zip | 40391-1294
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Country | US
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Telephone | 859-355-5233
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Fax |
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Provider Business Mailing Address
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Address Line | 1462 W LEXINGTON AVE
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City | WINCHESTER
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State | KY
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Zip | 40391-1294
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Country | US
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Telephone | 859-355-5233
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Fax |
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | ALLISON SCROGGINS
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Credential |
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Telephone | 859-447-6934
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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