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General NPI Number Information
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NPI Number | 1972212603
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Entity Type | Organization
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Legal Business Name | ROSS TRANSITIONAL & RECOVERY CENTERS OF AMERICA
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Dates
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Enumeration Date | 11/21/2022
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 3418 LINDEN AVE
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City | KNOXVILLE
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State | TN
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Zip | 37914-4045
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Country | US
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Telephone | 865-712-8555
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Fax |
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Provider Business Mailing Address
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Address Line | 1480 PINE BROOKE RD
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City | MORRISTOWN
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State | TN
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Zip | 37813-3539
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Country | US
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Telephone | 865-712-8555
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARIO ROSS
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Credential |
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Telephone | 865-712-8555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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