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General NPI Number Information
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NPI Number | 1194705236
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Entity Type | Organization
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Legal Business Name | CHEMICAL ADDICTIONS RECOVERY EFFORT, INC.
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Dates
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Enumeration Date | 01/17/2006
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 4000 E 3RD ST
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City | PANAMA CITY
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State | FL
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Zip | 32404-6257
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Country | US
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Telephone | 850-872-7676
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Fax | 850-872-9202
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Provider Business Mailing Address
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Address Line | 4000 E 3RD ST
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City | PANAMA CITY
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State | FL
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Zip | 32404-6257
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Country | US
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Telephone | 850-872-7676
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Fax | 850-872-9202
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Authorized Official
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Title or Position | CONTROLLER
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Name | MS. DEBBIE ANN CRUCE
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Credential |
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Telephone | 850-872-7676
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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 | 0203AD234501
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License Number State | FL
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Taxonomy #2
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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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Taxonomy #3
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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 #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 0203AD234501
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License Number State | FL
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