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General NPI Number Information
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NPI Number | 1750996971
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Entity Type | Organization
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Legal Business Name | ROBERT ALEXANDER CENTER FOR RECOVERY, LLC
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Dates
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Enumeration Date | 09/14/2020
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Last Update Date | 01/01/2024
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Provider Practice Location Address
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Address Line | 130 HOPE ST
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City | MT WASHINGTON
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State | KY
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Zip | 40047
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Country | US
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Telephone | 502-439-2248
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Fax |
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Provider Business Mailing Address
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Address Line | 130 HOPE ST
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City | MT WASHINGTON
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State | KY
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Zip | 40047
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | BRIAN THORNSBERRY
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Credential |
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Telephone | 502-433-9950
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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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