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General NPI Number Information
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NPI Number | 1841866555
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Entity Type | Organization
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Legal Business Name | OAKVINE RECOVERY CENTER LLC
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Dates
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Enumeration Date | 06/02/2021
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 2631 GATTIS SCHOOL RD STE 455
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City | ROUND ROCK
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State | TX
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Zip | 78664-2969
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Country | US
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Telephone | 512-368-2809
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Fax | 512-284-7304
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Provider Business Mailing Address
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Address Line | PO BOX 6082
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City | ROUND ROCK
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State | TX
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Zip | 78683-6082
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Country | US
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Telephone | 512-368-2809
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Fax | 512-284-7304
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Authorized Official
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Title or Position | OWNER/CEO
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Name | RHONDA GENAE PATRICK
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Credential |
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Telephone | 512-368-2809
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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