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General NPI Number Information
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NPI Number | 1720046451
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Entity Type | Organization
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Legal Business Name | RECOVERY SERVICES OF NORTHWEST OHIO, INC
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 02/29/2016
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Provider Practice Location Address
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Address Line | 511 PERRY ST
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City | DEFIANCE
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State | OH
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Zip | 43512-2123
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Country | US
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Telephone | 419-782-9920
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Fax | 419-784-2523
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Provider Business Mailing Address
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Address Line | 511 PERRY ST
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City | DEFIANCE
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State | OH
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Zip | 43512-2123
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Country | US
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Telephone | 419-782-9920
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Fax | 419-784-2523
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Authorized Official
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Title or Position | CEO
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Name | RUTH PECK
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Credential |
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Telephone | 419-782-9920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 3069,6686
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 1140,1975,1297,0989,
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 10998,3069,6686
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 1140,1975,1297,0989
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 3069,6686
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 1140,1975,1297,0989
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License Number State | OH
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Taxonomy #7
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 3069,6686
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License Number State | OH
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Taxonomy #8
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 1140,1975,1297,0989
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License Number State | OH
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Taxonomy #9
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 3069,6686
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License Number State | OH
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Taxonomy #10
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 1140,1975,1297,0989
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License Number State | OH
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