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General NPI Number Information
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NPI Number | 1245747229
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Entity Type | Organization
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Legal Business Name | LIFE RECOVERY CONSULTING, LLC
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Dates
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Enumeration Date | 12/29/2017
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Last Update Date | 12/29/2017
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Provider Practice Location Address
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Address Line | 704 WOLLARD BLVD
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City | RICHMOND
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State | MO
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Zip | 64085-2205
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Country | US
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Telephone | 816-470-0118
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Fax |
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Provider Business Mailing Address
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Address Line | 704 WOLLARD BLVD
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City | RICHMOND
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State | MO
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Zip | 64085-2205
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Country | US
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Telephone | 816-470-0118
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ROBERT R. COX
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Credential | MA, LPC, NCC
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Telephone | 816-470-0118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2015033738
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2015033738
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License Number State | MO
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