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General NPI Number Information
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NPI Number | 1942638424
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Entity Type | Organization
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Legal Business Name | THE RECOVERY CORNER
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Dates
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Enumeration Date | 10/22/2013
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Last Update Date | 10/22/2013
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Provider Practice Location Address
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Address Line | 4591 COVE DR APT 208
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City | BELLE ISLE
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State | FL
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Zip | 32812-2944
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Country | US
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Telephone | 321-217-6650
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Fax |
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Provider Business Mailing Address
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Address Line | 4591 COVE DR APT 208
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City | BELLE ISLE
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State | FL
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Zip | 32812-2944
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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 | CEO/DIRECTOR
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Name | MS. DAWN CHANTEL CURTIS
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Credential |
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Telephone | 321-217-6650
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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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