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General NPI Number Information
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NPI Number | 1346696838
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Entity Type | Organization
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Legal Business Name | ADDICTION RECOVERY CARE
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Dates
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Enumeration Date | 05/13/2016
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Last Update Date | 05/13/2016
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Provider Practice Location Address
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Address Line | 3651 US HIGHWAY 2565 2ND FLOOR
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City | LOUISA
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State | KY
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Zip | 41230
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Country | US
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Telephone | 606-826-0363
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Fax | 606-826-0144
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Provider Business Mailing Address
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Address Line | 3651 US HWY 2565 2ND FLOOR
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City | LOUISA
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State | KY
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Zip | 41230
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Country | US
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Telephone | 606-826-0363
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Fax | 606-826-0144
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Authorized Official
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Title or Position | CHIEF OF STAFF TO CEO
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Name | MATT BROWN
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Credential |
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Telephone | 606-826-0142
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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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