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General NPI Number Information
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NPI Number | 1366130536
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Entity Type | Organization
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Legal Business Name | ADDICTED TO RECOVERY LLC
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Dates
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Enumeration Date | 04/26/2023
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Last Update Date | 04/26/2023
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Provider Practice Location Address
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Address Line | 2905 N COUNTRY CLUB RD
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City | TUCSON
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State | AZ
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Zip | 85716-1911
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Country | US
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Telephone | 602-292-2010
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Fax |
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Provider Business Mailing Address
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Address Line | 15650 N BLACK CANYON HWY STE 245B
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City | PHOENIX
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State | AZ
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Zip | 85053-4041
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Country | US
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Telephone | 602-292-2010
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ERIC MAUGHAN
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Credential |
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Telephone | 602-292-2010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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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 | 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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