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General NPI Number Information
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NPI Number | 1659596542
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Entity Type | Organization
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Legal Business Name | RECOVERY CONCEPTS INC.
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 313 N SENECA ST SUITE 101
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City | WICHITA
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State | KS
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Zip | 67203-5937
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Country | US
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Telephone | 316-262-6633
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Fax | 316-262-3593
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Provider Business Mailing Address
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Address Line | 313 N SENECA ST SUITE 101
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City | WICHITA
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State | KS
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Zip | 67203-5937
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Country | US
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Telephone | 316-262-6633
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Fax | 316-262-3593
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. GAYL R. EDMUNDS
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Credential | B.G.S.
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Telephone | 316-262-6633
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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 | 066
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License Number State | KS
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