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General NPI Number Information
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NPI Number | 1538622899
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Entity Type | Organization
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Legal Business Name | TRANSITIONS RECOVERY, LLC
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Dates
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Enumeration Date | 04/12/2019
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 2406 G ST
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City | BEDFORD
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State | IN
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Zip | 47421-5120
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Country | US
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Telephone | 812-675-0377
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Fax |
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Provider Business Mailing Address
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Address Line | 2811 WASHINGTON AVE
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City | BEDFORD
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State | IN
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Zip | 47421-5310
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Country | US
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Telephone | 812-675-0902
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JERRY WAYNE FORD
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Credential |
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Telephone | 812-675-0902
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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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Taxonomy #2
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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