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General NPI Number Information
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NPI Number | 1225780687
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Entity Type | Organization
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Legal Business Name | RIGHT PATH RECOVERY LLC
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Dates
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Enumeration Date | 01/26/2022
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 1050 KINGSMILL PKWY
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City | COLUMBUS
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State | OH
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Zip | 43229-1143
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Country | US
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Telephone | 614-907-5434
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Fax | 614-939-2357
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Provider Business Mailing Address
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Address Line | 1050 KINGSMILL PKWY
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City | COLUMBUS
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State | OH
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Zip | 43229-1143
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Country | US
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Telephone | 614-907-5434
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Fax | 614-939-2357
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | LAWRENCE RICHARD BERK
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Credential |
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Telephone | 614-402-0086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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