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General NPI Number Information
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NPI Number | 1447849153
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Entity Type | Organization
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Legal Business Name | 3D RECOVERY LLC
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Dates
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Enumeration Date | 01/16/2021
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 6909 W COLONIAL DR
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City | ORLANDO
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State | FL
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Zip | 32818-6829
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Country | US
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Telephone | 484-868-4948
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Fax | 844-844-1865
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Provider Business Mailing Address
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Address Line | 150 TIMBERLAND TRL
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City | RIVERDALE
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State | GA
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Zip | 30274-3526
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Country | US
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Telephone | 484-868-4948
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Fax | 844-844-1865
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Authorized Official
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Title or Position | OWNER
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Name | PRESTON J QUEENAN
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Credential | LCSW
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Telephone | 484-868-4948
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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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