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General NPI Number Information
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NPI Number | 1649761982
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Entity Type | Organization
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Legal Business Name | INDEPENDENT RECOVERY SOLUTIONS LCC
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Dates
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Enumeration Date | 05/22/2018
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Last Update Date | 05/22/2018
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Provider Practice Location Address
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Address Line | 1645 PALM BEACH LAKES BLVD STE 1200
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-2214
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Country | US
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Telephone | 215-595-4081
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Fax |
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Provider Business Mailing Address
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Address Line | 2077 VININGS CIR APT 1303
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City | WELLINGTON
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State | FL
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Zip | 33414-2080
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Country | US
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Telephone | 215-595-4081
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. DEVIN MICHAEL SCHELLER
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Credential | BS, CAP
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Telephone | 215-595-4081
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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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