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General NPI Number Information
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NPI Number | 1801916655
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Entity Type | Organization
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Legal Business Name | RIGHT ROAD RECOVERY PROGRAMS, INC
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 03/03/2010
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Provider Practice Location Address
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Address Line | 2110 FERRY ST
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City | ANDERSON
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State | CA
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Zip | 96007-3459
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Country | US
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Telephone | 530-365-8523
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Fax |
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Provider Business Mailing Address
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Address Line | 2110 FERRY ST
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City | ANDERSON
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State | CA
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Zip | 96007-3459
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Country | US
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Telephone | 530-365-8523
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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 | MR. ROGER W. KENDRICK
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Credential |
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Telephone | 530-365-8523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 4504
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License Number State | CA
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