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General NPI Number Information
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NPI Number | 1407923501
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Entity Type | Organization
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Legal Business Name | RECOVERY CONSULTANTS INCORPORATED
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 05/21/2018
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Provider Practice Location Address
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Address Line | 2710 12 MILE RD
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City | BERKLEY
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State | MI
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Zip | 48072
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Country | US
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Telephone | 248-543-1090
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Fax | 248-543-0017
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Provider Business Mailing Address
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Address Line | 2710 12 MILE RD
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City | BERKLEY
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State | MI
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Zip | 48072-1630
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Country | US
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Telephone | 248-543-1090
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Fax | 248-543-0017
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Authorized Official
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Title or Position | CEO
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Name | MS. KATHY LYNN SMALLER
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Credential |
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Telephone | 248-543-1090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 631165
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | SA0631165
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License Number State | MI
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