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General NPI Number Information
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NPI Number | 1144830027
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Entity Type | Organization
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Legal Business Name | RECOVERY JOURNEY SERVICES LLC
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Dates
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Enumeration Date | 08/05/2020
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 201 E PITT ST STE 103
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City | TARBORO
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State | NC
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Zip | 27886-5137
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Country | US
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Telephone | 252-378-9940
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Fax |
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Provider Business Mailing Address
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Address Line | 2054 FISHPOND RD
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City | GREENVILLE
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State | NC
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Zip | 27834-8852
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Country | US
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Telephone | 252-814-5095
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TYEASIA KIAH DORSEY
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Credential | LCAS CCS
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Telephone | 252-378-9940
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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 |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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