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General NPI Number Information
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NPI Number | 1679400337
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Entity Type | Organization
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Legal Business Name | ALPHA RECOVERY CENTER
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 3805 N HIGH ST STE 307
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City | COLUMBUS
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State | OH
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Zip | 43214-3539
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Country | US
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Telephone | 614-897-9252
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Fax | 614-737-5200
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Provider Business Mailing Address
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Address Line | 3805 N HIGH ST STE 307
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City | COLUMBUS
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State | OH
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Zip | 43214-3539
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Country | US
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Telephone | 614-897-9252
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Fax | 614-737-5200
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Authorized Official
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Title or Position | OWNER
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Name | NKENGAFAC ETCHI
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Credential |
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Telephone | 614-584-4270
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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