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General NPI Number Information
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NPI Number | 1427445782
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Entity Type | Organization
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Legal Business Name | INTOUCH RECOVERY
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Dates
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Enumeration Date | 04/23/2015
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Last Update Date | 04/23/2015
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Provider Practice Location Address
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Address Line | 1037 ERIKSON DR
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City | REXBURG
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State | ID
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Zip | 83440-5297
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Country | US
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Telephone | 801-310-4363
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Fax |
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Provider Business Mailing Address
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Address Line | 1037 ERIKSON DR
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City | REXBURG
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State | ID
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Zip | 83440-5297
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Country | US
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Telephone | 801-310-4363
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. JENNY HARROP
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Credential |
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Telephone | 801-310-4363
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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