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General NPI Number Information
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NPI Number | 1285434423
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Entity Type | Organization
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Legal Business Name | AVIV RECOVERY
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 236 CLEARFIELD AVE STE 205
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-1893
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Country | US
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Telephone | 917-444-2147
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Fax |
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Provider Business Mailing Address
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Address Line | 236 CLEARFIELD AVE STE 205
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-1893
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Country | US
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Telephone | 917-444-2147
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JONATHAN NEUMAN
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Credential |
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Telephone | 917-444-2147
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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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