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NPI 1467869974

NPI 1467869974 : ADDICTION RECOVERY, INC. : CROWNSVILLE, MD

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General NPI Number Information
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    NPI Number           |    1467869974
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    Entity Type          |    Organization 
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    Legal Business Name  |    ADDICTION RECOVERY, INC. 
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Dates
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    Enumeration Date     |    07/16/2014
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    Last Update Date     |    10/31/2025
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Provider Practice Location Address
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    Address Line         |    26 MARBURY DR 
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    City                 |    CROWNSVILLE
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    State                |    MD
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    Zip                  |    21032-2065
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    Country              |    US
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    Telephone            |    410-923-6700
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    Fax                  |    410-923-6213
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Provider Business Mailing Address
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    Address Line         |    26 MARBURY DR 
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    City                 |    CROWNSVILLE
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    State                |    MD
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    Zip                  |    21032-2065
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    Country              |    US
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    Telephone            |    410-923-6700
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    Fax                  |    410-923-6213
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     EUNITA  HASKINS 
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    Credential           |    
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    Telephone            |    410-923-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    904811
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    License Number State |    MD
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