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NPI 1154970010

NPI 1154970010 : AXIUM RECOVERY SERVICES : SPOKANE, WA

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General NPI Number Information
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    NPI Number           |    1154970010
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    Entity Type          |    Organization 
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    Legal Business Name  |    AXIUM RECOVERY SERVICES 
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Dates
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    Enumeration Date     |    09/04/2019
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    Last Update Date     |    02/01/2026
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Provider Practice Location Address
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    Address Line         |    901 E 2ND AVE STE 201 
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    City                 |    SPOKANE
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    State                |    WA
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    Zip                  |    99202-2257
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    Country              |    US
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    Telephone            |    509-474-1148
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    Fax                  |    509-413-1625
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Provider Business Mailing Address
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    Address Line         |    901 E 2ND AVE STE 201 
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    City                 |    SPOKANE
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    State                |    WA
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    Zip                  |    99202-2257
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    Country              |    US
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    Telephone            |    509-474-1148
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    Fax                  |    509-413-1625
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Authorized Official
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    Title or Position    |    CLINICAL SUPERVISOR /OWENER
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    Name                 |    MR. SHERMAN  ROBINSON JR.
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    Credential           |    SUDP
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    Telephone            |    509-474-1148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR0800X
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    Taxonomy Name        |    Recovery Care Clinic/Center
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    License Number       |    
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    License Number State |    
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