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General NPI Number Information
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NPI Number | 1477410033
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Entity Type | Organization
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Legal Business Name | A WAY OUT RECOVERY LLC
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 3934 DIXIE HWY STE 410A
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City | LOUISVILLE
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State | KY
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Zip | 40216-4163
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Country | US
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Telephone | 502-794-3082
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Fax |
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Provider Business Mailing Address
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Address Line | 2312 S PRESTON ST UNIT 17567
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City | LOUISVILLE
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State | KY
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Zip | 40217-5022
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CLAUDE JOHNSON
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Credential |
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Telephone | 502-794-3082
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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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