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General NPI Number Information
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NPI Number | 1346991643
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Entity Type | Organization
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Legal Business Name | RECOVERY FROM SOCIETY LLC.
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Dates
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Enumeration Date | 01/18/2022
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Last Update Date | 12/28/2025
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Provider Practice Location Address
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Address Line | 412 E MADISON ST STE 1012
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City | TAMPA
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State | FL
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Zip | 33602-4618
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Country | US
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Telephone | 813-364-4465
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Fax | 813-359-1886
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Provider Business Mailing Address
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Address Line | PO BOX 1126
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City | RUSKIN
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State | FL
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Zip | 33575-1126
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Country | US
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Telephone | 813-364-4465
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Fax | 813-359-1886
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Authorized Official
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Title or Position | OWNER
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Name | DR. CRAIG JORDEN JR.
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Credential |
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Telephone | 813-364-4465
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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