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General NPI Number Information
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NPI Number | 1598612681
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Entity Type | Organization
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Legal Business Name | OPIATE RECOVERY ALLIANCE ORA
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 3352 JEFFERSON AVE
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City | CINCINNATI
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State | OH
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Zip | 45220-2132
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Country | US
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Telephone | 513-580-4050
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Fax | 513-221-0440
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Provider Business Mailing Address
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Address Line | 3427 WHITFIELD AVE
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City | CINCINNATI
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State | OH
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Zip | 45220-1556
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Country | US
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Telephone | 513-550-1038
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Fax | 513-221-0440
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DANIEL ALAN NELSON
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Credential | MD
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Telephone | 513-550-1038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0802X
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Taxonomy Name | Addiction Psychiatry Physician
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License Number |
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License Number State |
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