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General NPI Number Information
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NPI Number | 1912374216
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS SOLUTIONS FOR RECOVERY, INC
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Dates
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Enumeration Date | 08/22/2015
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Last Update Date | 04/28/2020
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Provider Practice Location Address
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Address Line | 1516 N RUDDELL ST
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City | DENTON
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State | TX
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Zip | 76209-3338
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Country | US
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Telephone | 904-898-6202
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Fax | 904-382-5435
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Provider Business Mailing Address
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Address Line | 1516 N RUDDELL ST
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City | DENTON
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State | TX
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Zip | 76209-3338
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Country | US
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Telephone | 940-898-6202
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Fax | 940-382-5435
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. SCOTT WISENBAKER
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Credential |
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Telephone | 940-898-6202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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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