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General NPI Number Information
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NPI Number | 1215425442
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Entity Type | Organization
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Legal Business Name | TRINITY RECOVERY,LLP
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Dates
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Enumeration Date | 04/24/2018
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Last Update Date | 04/24/2018
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Provider Practice Location Address
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Address Line | 15898 SAINT CLAIR AVE
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City | EAST LIVERPOOL
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State | OH
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Zip | 43920-9122
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Country | US
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Telephone | 724-977-9590
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Fax |
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Provider Business Mailing Address
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Address Line | 15735 JOHNSON RD
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City | LISBON
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State | OH
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Zip | 44432-9637
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Country | US
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Telephone | 724-977-9590
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MISS ALLISON KENNEDY
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Credential |
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Telephone | 724-977-9590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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