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General NPI Number Information
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NPI Number | 1558803270
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Entity Type | Organization
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Legal Business Name | STAGES OF RECOVERY, INC
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Dates
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Enumeration Date | 11/11/2016
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 700 N ROBINSON DR
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City | ROBINSON
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State | TX
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Zip | 76706-5050
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Country | US
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Telephone | 806-412-4721
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Fax | 806-412-4721
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Provider Business Mailing Address
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Address Line | 4413 71ST ST STE G101
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City | LUBBOCK
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State | TX
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Zip | 79424-2319
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Country | US
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Telephone | 806-412-4721
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Fax | 806-412-4721
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Authorized Official
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Title or Position | CEO
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Name | MR. STEPHEN MICHAEL MEDLEY
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Credential | BA
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Telephone | 817-600-8692
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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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