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General NPI Number Information
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NPI Number | 1598885279
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Entity Type | Organization
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Legal Business Name | SOLUTIONS TO RECOVER
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 32 W TENNYSON AVE
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City | PONTIAC
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State | MI
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Zip | 48340-2668
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Country | US
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Telephone | 248-454-9957
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Fax | 248-454-9457
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Provider Business Mailing Address
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Address Line | 36 W TENNYSON AVE
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City | PONTIAC
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State | MI
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Zip | 48340-2668
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Country | US
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Telephone | 248-758-0926
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Fax | 248-454-6557
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Authorized Official
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Title or Position | CFO & ADMINISTRATIVE DIRECTOR
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Name | MRS. JANICE EVELYN THARPE
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Credential | FAODP, SPEX
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Telephone | 248-454-0130
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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 | 631254
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License Number State | MI
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