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General NPI Number Information
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NPI Number | 1396469540
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Entity Type | Organization
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Legal Business Name | KLARE RECOVERY LLC
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Dates
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Enumeration Date | 09/30/2022
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 11990 GRANT ST STE 300
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City | NORTHGLENN
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State | CO
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Zip | 80233-1135
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Country | US
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Telephone | 720-877-1556
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Fax |
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Provider Business Mailing Address
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Address Line | 11990 GRANT ST STE 300
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City | NORTHGLENN
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State | CO
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Zip | 80233-1135
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Country | US
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Telephone | 720-877-1556
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | HANNAH KLARE VANNINI
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Credential |
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Telephone | 720-877-1556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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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Taxonomy #3
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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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 | 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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