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General NPI Number Information
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NPI Number | 1760902563
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Entity Type | Organization
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Legal Business Name | RECLAIM YOU, LLC
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Dates
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Enumeration Date | 06/22/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 8815 CENTRE PARK DR STE 300
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City | COLUMBIA
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State | MD
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Zip | 21045-2299
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Country | US
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Telephone | 855-596-8946
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Fax |
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Provider Business Mailing Address
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Address Line | 8815 CENTRE PARK DR STE 300
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City | COLUMBIA
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State | MD
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Zip | 21045-2299
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Country | US
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Telephone | 855-596-8946
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. DALE GIVENS JR.
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Credential | MD
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Telephone | 443-579-4659
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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