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General NPI Number Information
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NPI Number | 1922441864
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Entity Type | Organization
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Legal Business Name | THE RECOVERY CENTER
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Dates
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Enumeration Date | 04/10/2013
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Last Update Date | 04/10/2013
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Provider Practice Location Address
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Address Line | 3200 O ST STE 5
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City | LINCOLN
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State | NE
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Zip | 68510-1510
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Country | US
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Telephone | 402-742-9616
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Fax | 402-742-9116
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Provider Business Mailing Address
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Address Line | 3200 O ST STE 5
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City | LINCOLN
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State | NE
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Zip | 68510-1510
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Country | US
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Telephone | 402-742-9616
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Fax | 402-742-9116
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MR. CURTIS OWENE BONEBRIGHT
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Credential | LADC
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Telephone | 402-742-9616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 71
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License Number State | NE
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