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General NPI Number Information
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NPI Number | 1821970823
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Entity Type | Organization
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Legal Business Name | RIVERSIDE RECOVERY HOUSING, LLC
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 529 MAIN ST
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City | LOVELAND
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State | OH
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Zip | 45140-2509
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Country | US
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Telephone | 513-235-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 529 MAIN ST
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City | LOVELAND
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State | OH
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Zip | 45140-2509
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO/OPERATOR
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Name | SHAWN CUTIS
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Credential |
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Telephone | 513-235-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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