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General NPI Number Information
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NPI Number | 1235564188
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Entity Type | Organization
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Legal Business Name | POSITIVE RECOVERY SOLUTIONS, LLC
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Dates
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Enumeration Date | 09/11/2013
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 5320 E MAIN ST STE 800
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City | COLUMBUS
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State | OH
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Zip | 43213-2506
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Country | US
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Telephone | 412-660-7064
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Fax |
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Provider Business Mailing Address
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Address Line | 378 W CHESTNUT ST STE 103
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City | WASHINGTON
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State | PA
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Zip | 15301-4661
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Country | US
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Telephone | 724-255-7545
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Fax | 412-892-9404
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | TERRY PARRAN
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Credential |
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Telephone | 317-213-5134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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