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General NPI Number Information
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NPI Number | 1467669226
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Entity Type | Organization
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Legal Business Name | RADICAL REHAB SOLUTIONS, LLC
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 314 9TH ST
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City | HUNTINGTON
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State | WV
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Zip | 25701-1436
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Country | US
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Telephone | 304-781-2510
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Fax | 304-525-3311
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Provider Business Mailing Address
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Address Line | PO BOX 6456
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City | HUNTINGTON
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State | WV
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Zip | 25772-6456
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Country | US
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Telephone | 304-781-2510
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Fax | 304-525-3311
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. JAMES FREDERICK PHIFER
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Credential | PH.D.
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Telephone | 304-781-2510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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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 | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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Taxonomy #3
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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