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General NPI Number Information
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NPI Number | 1427858893
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Entity Type | Organization
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Legal Business Name | TW REAL HOLDINGS COMPANY
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Dates
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Enumeration Date | 03/15/2025
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Last Update Date | 10/05/2025
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Provider Practice Location Address
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Address Line | 1830 WAGON WHEEL RD
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City | SPRINGDALE
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State | AR
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Zip | 72762-7914
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Country | US
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Telephone | 954-654-2350
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Fax |
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Provider Business Mailing Address
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Address Line | 12785 DOE DR
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City | ALPHARETTA
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State | GA
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Zip | 30004-8987
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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 | AUTHORIZED OFFICIAL
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Name | NICHOLAS CANTO
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Credential |
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Telephone | 954-654-2350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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