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General NPI Number Information
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NPI Number | 1922607266
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Entity Type | Organization
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Legal Business Name | FULL CIRCLE RECOVERY OF CIRCLEVILLE
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Dates
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Enumeration Date | 10/19/2020
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 2065 STONERIDGE DR
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City | CIRCLEVILLE
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State | OH
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Zip | 43113-8956
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Country | US
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Telephone | 614-400-6673
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Fax |
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Provider Business Mailing Address
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Address Line | 2065 STONERIDGE DR
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City | CIRCLEVILLE
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State | OH
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Zip | 43113-8956
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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
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Name | ANDREW INGLIS
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Credential |
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Telephone | 740-500-1391
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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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