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1396687232 NPI number — RECOVERY KEYS, INC

NPI Number: 1396687232
Health Care Provider/Practitioner: RECOVERY KEYS, INC

Information about “1396687232” NPI (RECOVERY KEYS, INC) exists in 1396687232 in HTML format HTML  |  1396687232 in plain Text format TXT  |  1396687232 in PDF (Portable Document Format) PDF  |  1396687232 in an XML format XML  formats.

NPI Number : 1396687232 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396687232",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "RECOVERY KEYS, INC",
    "ParentOrgTIN": null,
    "OrgName": "RECOVERY KEYS, INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3304 SAWGRASS VILLAGE CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PONTE VEDRA BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32082-5035",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "904-551-1394",
    "MailingAddressFaxNumber": "888-770-4284",
    "FirstLinePracticeLocationAddress": "3304 SAWGRASS VILLAGE CIR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PONTE VEDRA BEACH",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32082-5035",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "904-551-1394",
    "PracticeLocationAddressFaxNumber": "888-770-4284",
    "EnumerationDate": "04/08/2026",
    "LastUpdateDate": "04/08/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MIRABILE",
    "AuthorizedOfficialFirstName": "JEREMY",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MEDICAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "904-551-1394",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QR0405X",
        "TaxonomyName": "Substance Use Disorder Rehabilitation Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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