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General NPI Number Information
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NPI Number | 1376276345
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Entity Type | Organization
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Legal Business Name | RECOVER HEALTH, PLLC
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 02/28/2023
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Provider Practice Location Address
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Address Line | 1345 MONROE AVE NW STE 121
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City | GRAND RAPIDS
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State | MI
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Zip | 49505-4671
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Country | US
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Telephone | 616-256-8600
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Fax | 877-409-3462
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Provider Business Mailing Address
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Address Line | 1345 MONROE AVE NW STE 121
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City | GRAND RAPIDS
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State | MI
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Zip | 49505-4671
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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 | OWNER
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Name | DR. SCOTT RUSSO
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Credential | MD
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Telephone | 616-256-8600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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