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General NPI Number Information
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NPI Number | 1871253013
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Entity Type | Organization
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Legal Business Name | THE SOLUTION RECOVERY, LLC
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Dates
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Enumeration Date | 12/29/2021
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Last Update Date | 05/03/2024
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Provider Practice Location Address
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Address Line | 302 STATE ST
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City | PROCTORVILLE
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State | OH
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Zip | 45669-5004
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Country | US
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Telephone | 740-646-4380
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Fax |
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Provider Business Mailing Address
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Address Line | 302 STATE ST
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City | PROCTORVILLE
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State | OH
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Zip | 45669-5004
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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 | EXECUTIVE DIRECTOR/OWNER
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Name | JAIME BURGE
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Credential | RN
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Telephone | 740-646-4380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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