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General NPI Number Information
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NPI Number | 1518341551
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Entity Type | Organization
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Legal Business Name | RECOVERY INNOVATIONS, INC
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Dates
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Enumeration Date | 07/18/2015
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Last Update Date | 06/21/2022
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Provider Practice Location Address
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Address Line | 11361 N 99TH AVENUE SUITE 107
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City | PEORIA
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State | AZ
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Zip | 85345
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Country | US
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Telephone | 602-636-4605
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Fax | 623-972-6173
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Provider Business Mailing Address
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Address Line | 2701 N 16TH STREET SUITE 316
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City | PHOENIX
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State | AZ
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Zip | 85006
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Country | US
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Telephone | 602-650-1212
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Fax | 602-636-5283
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Authorized Official
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Title or Position | ASSOCIATE DIRECTOR, CREDENTIALING
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Name | CORINA OGAZ
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Credential |
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Telephone | 602-636-3085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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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 | 385H00000X
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Taxonomy Name | Respite Care
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License Number | BH4709
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License Number State | AZ
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