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General NPI Number Information
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NPI Number | 1669892428
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Entity Type | Organization
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Legal Business Name | QUEST RECOVERY AND PREVENTION SERVICES, INC.
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Dates
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Enumeration Date | 04/21/2014
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Last Update Date | 04/21/2014
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Provider Practice Location Address
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Address Line | 1207 W STATE ST SUITE F
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City | ALLIANCE
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State | OH
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Zip | 44601-4686
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Country | US
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Telephone | 330-821-3846
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Fax | 330-821-5172
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Provider Business Mailing Address
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Address Line | 1341 MARKET AVE N
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City | CANTON
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State | OH
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Zip | 44714-2605
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Country | US
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Telephone | 330-453-8252
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Fax | 330-453-6716
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. KEITH HOCHADEL
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Credential | PCC-S, LCDCIII, SAP
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Telephone | 330-453-8252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 01-0619
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License Number State | OH
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