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General NPI Number Information
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NPI Number | 1780493569
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Entity Type | Organization
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Legal Business Name | AWARE RECOVERY CLINICAL ASSOCIATES
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 1200 S PINE ISLAND RD
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City | PLANTATION
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State | FL
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Zip | 33324-4413
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Country | US
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Telephone | 203-490-4266
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Fax |
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Provider Business Mailing Address
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Address Line | 35 THORPE AVE STE 104
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City | WALLINGFORD
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State | CT
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Zip | 06492-1948
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Country | US
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Telephone | 203-490-4266
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Fax |
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Authorized Official
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Title or Position | REVENUE CYCLE MANAGER
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Name | DANIELLE SMITH
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Credential |
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Telephone | 203-671-0339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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