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General NPI Number Information
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NPI Number | 1174751432
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Entity Type | Organization
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Legal Business Name | RUN2RECOVERY COUNSELING SERVICES
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Dates
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Enumeration Date | 06/25/2009
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Last Update Date | 06/25/2009
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Provider Practice Location Address
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Address Line | 175 E ADAMS ST
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City | IONIA
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State | MI
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Zip | 48846-1672
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Country | US
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Telephone | 517-745-5534
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 181
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City | HOLT
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State | MI
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Zip | 48842-0181
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Country | US
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Telephone | 517-745-5534
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BENJAMIN LANGMAN
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Credential | LPC CAAC
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Telephone | 517-745-5534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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