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General NPI Number Information
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NPI Number | 1770615007
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Entity Type | Organization
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Legal Business Name | RECOVERY RESOURCE CENTER
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7710 READING RD SUITE 100
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City | CINCINNATI
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State | OH
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Zip | 45237-6800
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Country | US
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Telephone | 513-761-7353
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Fax | 513-761-7353
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Provider Business Mailing Address
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Address Line | 7710 READING RD SUITE 100
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City | CINCINNATI
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State | OH
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Zip | 45237-6800
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Country | US
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Telephone | 513-761-7353
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Fax | 513-761-7353
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. ROSEMARY KL FEDERLE
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Credential | MS, LICDC, LPC, NCAC
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Telephone | 513-761-7353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 11214
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License Number State | OH
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