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General NPI Number Information
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NPI Number | 1750049284
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Entity Type | Organization
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Legal Business Name | TRI AMERICA RECOVERY
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Dates
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Enumeration Date | 12/01/2021
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 2185 LEMOINE AVE UNIT 1H
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City | FORT LEE
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State | NJ
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Zip | 07024-6030
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Country | US
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Telephone | 877-427-8180
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Fax |
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Provider Business Mailing Address
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Address Line | 2185 LEMOINE AVE UNIT 1H
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City | FORT LEE
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State | NJ
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Zip | 07024-6030
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Country | US
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Telephone | 877-427-8180
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED PERSON
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Name | LORI KOLIN
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Credential |
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Telephone | 877-427-8180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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License Number State |
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