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General NPI Number Information
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NPI Number | 1528529674
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Entity Type | Organization
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Legal Business Name | ROAD TO RECOVERY FOUNDATION INC
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Dates
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Enumeration Date | 03/29/2019
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Last Update Date | 12/14/2020
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Provider Practice Location Address
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Address Line | 501 E GRAND AVE
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City | SAYRE
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State | OK
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Zip | 73662-1917
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Country | US
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Telephone | 405-253-3838
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Fax | 405-527-1265
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Provider Business Mailing Address
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Address Line | 23899 STATE HIGHWAY 74
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City | PURCELL
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State | OK
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Zip | 73080-6964
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Country | US
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Telephone | 405-253-3838
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Fax | 405-527-1265
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Authorized Official
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Title or Position | CHIEF FINANCIAL & OPERATING OFFICER
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Name | JACOB WILSON HILL
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Credential |
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Telephone | 405-253-3838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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