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General NPI Number Information
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NPI Number | 1891557492
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Entity Type | Organization
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Legal Business Name | RISING SUN RECOVERY, INC.
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Dates
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Enumeration Date | 01/29/2024
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Last Update Date | 05/10/2025
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Provider Practice Location Address
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Address Line | 3446 PARSONS GREENE CT
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-4428
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Country | US
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Telephone | 404-200-8907
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Fax |
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Provider Business Mailing Address
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Address Line | 3446 PARSONS GREENE CT
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-4428
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Country | US
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Telephone | 404-200-8907
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ANTHONY RAY MOON
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Credential | CPS-AD
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Telephone | 404-200-8907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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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 | 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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Taxonomy #4
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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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