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General NPI Number Information
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NPI Number | 1528854866
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Entity Type | Organization
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Legal Business Name | BREAKING CHAINS RECOVERY SERVICES LLC
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 4837 MAIN AVE
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City | ASHTABULA
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State | OH
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Zip | 44004-6965
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Country | US
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Telephone | 440-415-3253
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Fax |
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Provider Business Mailing Address
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Address Line | 4837 MAIN AVE
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City | ASHTABULA
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State | OH
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Zip | 44004-6965
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Country | US
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Telephone | 440-969-0039
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Fax | 440-740-3835
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MRS. ROBIN DEEMER
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Credential | LISW, LICDC
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Telephone | 440-969-0039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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