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General NPI Number Information
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NPI Number | 1629683388
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Entity Type | Organization
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Legal Business Name | FAMILY RECOVERY RESOURCE EXPERTS LLC
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Dates
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Enumeration Date | 09/10/2020
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Last Update Date | 10/01/2020
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Provider Practice Location Address
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Address Line | 311 RAMSEY ST STE 206
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City | SAINT PAUL
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State | MN
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Zip | 55102-2323
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Country | US
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Telephone | 651-505-1941
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Fax |
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Provider Business Mailing Address
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Address Line | 311 RAMSEY ST # 206
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City | SAINT PAUL
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State | MN
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Zip | 55102-2323
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Country | US
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Telephone | 651-505-1940
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Fax | 888-635-7078
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Authorized Official
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Title or Position | OWNER/COO
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Name | RACHEL SCHUTT
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Credential |
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Telephone | 651-308-9401
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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