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General NPI Number Information
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NPI Number | 1457757833
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Entity Type | Organization
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Legal Business Name | RECOVERY IN THE LIGHT
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Dates
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Enumeration Date | 11/12/2014
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Last Update Date | 11/22/2016
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Provider Practice Location Address
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Address Line | 5001 HOLLYWOOD BLVD
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City | HOLLYWOOD
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State | FL
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Zip | 33021
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Country | US
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Telephone | 954-548-4331
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Fax | 888-415-6464
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Provider Business Mailing Address
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Address Line | 5001 HOLLYWOOD BLVD
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City | HOLLYWOOD
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State | FL
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Zip | 33021
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Country | US
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Telephone | 954-234-2463
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Fax | 855-768-4701
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Authorized Official
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Title or Position | COLLECTIONS MANAGER
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Name | RAYMOND S TUCKER
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Credential |
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Telephone | 945-234-2463
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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 |
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License Number State |
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Taxonomy #2
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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 |
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License Number State | FL
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