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General NPI Number Information
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NPI Number | 1821512476
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Entity Type | Organization
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Legal Business Name | LOCAL RECOVERY, LLC
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Dates
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Enumeration Date | 07/26/2017
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Last Update Date | 08/03/2018
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Provider Practice Location Address
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Address Line | 200 KNUTH ROAD, SUITE 228
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City | BOYNTON BEACH
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State | FL
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Zip | 33436
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Country | US
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Telephone | 561-523-9144
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Fax | 888-781-9595
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Provider Business Mailing Address
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Address Line | 200 KNUTH ROAD, SUITE 228
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City | BOYNTON BEACH
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State | FL
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Zip | 33436
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Country | US
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Telephone | 561-523-9144
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Fax | 888-781-9595
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Authorized Official
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Title or Position | OWNER
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Name | ROBERSON VOLTAIRE
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Credential |
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Telephone | 561-523-9144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1018004
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1018004
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 1018003
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 1018003
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 1018004
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1018003
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License Number State | FL
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