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General NPI Number Information
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NPI Number | 1851652408
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Entity Type | Organization
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Legal Business Name | TOUCHSTONE RECOVERY
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Dates
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Enumeration Date | 05/30/2012
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Last Update Date | 05/30/2012
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Provider Practice Location Address
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Address Line | 13249 PENNSYLVANIA RD
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City | RIVERVIEW
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State | MI
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Zip | 48193-6637
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Country | US
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Telephone | 734-250-8056
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Fax |
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Provider Business Mailing Address
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Address Line | 13249 PENNSYLVANIA RD
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City | RIVERVIEW
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State | MI
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Zip | 48193-6637
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Country | US
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Telephone | 734-250-8056
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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 | MR. JAMES LOFFREDO
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Credential | MA, LPC, NCC, CAADC
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Telephone | 313-515-6200
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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 | 823173
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License Number State | MI
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