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NPI 1255791646

NPI 1255791646 : RECOVERIES R US LLC : INWOOD, NY

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General NPI Number Information
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    NPI Number           |    1255791646
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    Entity Type          |    Organization 
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    Legal Business Name  |    RECOVERIES R US LLC 
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Dates
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    Enumeration Date     |    02/29/2016
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    Last Update Date     |    02/29/2016
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Provider Practice Location Address
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    Address Line         |    420 DOUGHTY BLVD 
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    City                 |    INWOOD
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    State                |    NY
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    Zip                  |    11096-1357
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    Country              |    US
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    Telephone            |    516-564-2017
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    101 CEDAR ST 
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    City                 |    FORT LEE
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    State                |    NJ
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    Zip                  |    07024-7037
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     CONCEPCION  PACHECO 
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    Credential           |    CASAC
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    Telephone            |    516-564-2017
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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