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General NPI Number Information
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NPI Number | 1679255103
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Entity Type | Organization
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Legal Business Name | WOMEN FINDING FREEDOM THRU RECOVERY LLC
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Dates
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Enumeration Date | 08/03/2023
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Last Update Date | 04/15/2024
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Provider Practice Location Address
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Address Line | 2459 E HIGHWAY 80
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City | RUSSELL SPRINGS
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State | KY
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Zip | 42642-7418
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Country | US
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Telephone | 270-789-9227
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Fax |
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Provider Business Mailing Address
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Address Line | 198 PEAR TREE LN
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City | COLUMBIA
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State | KY
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Zip | 42728-8656
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Country | US
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Telephone | 270-789-9227
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Fax | 270-380-0000
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Authorized Official
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Title or Position | CONTRACTOR
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Name | CRYSTAL STAPLETON
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Credential |
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Telephone | 270-380-1093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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