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General NPI Number Information
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NPI Number | 1467196386
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Entity Type | Organization
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Legal Business Name | COVENANT RECOVERY INC
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Dates
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Enumeration Date | 04/26/2022
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Last Update Date | 11/22/2022
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Provider Practice Location Address
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Address Line | 276 LINDEN ST
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City | HOT SPRINGS
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State | AR
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Zip | 71901-3308
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Country | US
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Telephone | 501-226-6810
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Fax |
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Provider Business Mailing Address
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Address Line | 276 LINDEN ST
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City | HOT SPRINGS
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State | AR
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Zip | 71901-3308
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Country | US
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Telephone | 501-226-6810
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SARAH RACKLEY
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Credential |
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Telephone | 501-226-6810
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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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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 |
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Taxonomy #3
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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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