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General NPI Number Information
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NPI Number | 1194620435
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Entity Type | Organization
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Legal Business Name | RESTORATION RECOVERY CENTER, LLC
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 6771 LEANING OAK RD
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City | OXFORD
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State | NC
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Zip | 27565
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Country | US
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Telephone | 919-339-9808
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Fax |
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Provider Business Mailing Address
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Address Line | 100 S GARNETT ST STE 175
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City | HENDERSON
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State | NC
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Zip | 27536-4642
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Country | US
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Telephone | 919-339-9808
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | DR. THEARTIS DOREISE HOLMES
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Credential | LCAS
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Telephone | 919-482-6382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | NULL
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