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General NPI Number Information
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NPI Number | 1447968797
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Entity Type | Organization
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Legal Business Name | SETTLERS LANDING RECOVERY, LLC.
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Dates
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Enumeration Date | 11/07/2022
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Last Update Date | 11/07/2022
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Provider Practice Location Address
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Address Line | 491 W MAIN ST
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City | FRIES
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State | VA
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Zip | 24330-4499
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Country | US
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Telephone | 713-859-6309
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Fax |
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Provider Business Mailing Address
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Address Line | 1002 SADDLE CREEK RD
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City | INDEPENDENCE
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State | VA
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Zip | 24348-4443
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Country | US
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Telephone | 713-859-6309
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. BRIAN GEOFFREY EDENFIELD
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Credential | BBA, MBA
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Telephone | 713-859-6309
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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