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General NPI Number Information
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NPI Number | 1669644894
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Entity Type | Organization
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Legal Business Name | THE CENTER FOR RAPID RECOVERY, INC
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Dates
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Enumeration Date | 03/27/2008
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Last Update Date | 10/09/2014
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Provider Practice Location Address
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Address Line | 312 GREENWICH ST
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City | HEMPSTEAD
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State | NY
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Zip | 11550-6318
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Country | US
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Telephone | 516-292-6449
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Fax | 516-292-9140
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Provider Business Mailing Address
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Address Line | 312 GREENWICH ST
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City | HEMPSTEAD
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State | NY
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Zip | 11550-6318
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Country | US
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Telephone | 516-292-6449
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MISS RENEE D CHARLES
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Credential |
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Telephone | 516-292-6441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 02085358
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License Number State | NY
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