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General NPI Number Information
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NPI Number | 1205198256
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Entity Type | Organization
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Legal Business Name | RECOVERY IS MOTION, LLC
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Dates
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Enumeration Date | 06/14/2012
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Last Update Date | 06/14/2012
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Provider Practice Location Address
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Address Line | 2017 BRUSHFIRE CT
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City | ARLINGTON
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State | TX
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Zip | 76001-5678
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Country | US
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Telephone | 214-557-3522
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Fax |
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Provider Business Mailing Address
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Address Line | 2017 BRUSHFIRE CT
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City | ARLINGTON
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State | TX
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Zip | 76001-5678
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Country | US
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Telephone | 214-557-3522
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Fax |
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Authorized Official
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Title or Position | OWNER/CURRICULUM WRITTER/ CPS
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Name | MR. JAMES DAVID MICHELL
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Credential | QMHP, CPS
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Telephone | 214-557-3522
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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 | CPS
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License Number State | TX
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