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General NPI Number Information
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NPI Number | 1821735457
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Entity Type | Organization
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Legal Business Name | B2B RECOVERY CORP
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Dates
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Enumeration Date | 05/16/2022
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Last Update Date | 05/16/2022
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Provider Practice Location Address
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Address Line | 6834 S WESTERN AVE
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City | CHICAGO
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State | IL
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Zip | 60636-3118
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Country | US
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Telephone | 312-998-7218
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Fax |
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Provider Business Mailing Address
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Address Line | 6834 S WESTERN AVE
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City | CHICAGO
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State | IL
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Zip | 60636-3118
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Country | US
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Telephone | 312-998-7218
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MRS. TAMERA DANIELLE COTTON
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Credential | CADC
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Telephone | 312-998-7218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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License Number |
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License Number State |
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