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General NPI Number Information
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NPI Number | 1982235636
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Entity Type | Organization
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Legal Business Name | NARCOTIC ADDICTION RECOVERY CENTER LLC
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Dates
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Enumeration Date | 01/31/2020
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 2181 VICTORY PKWY 2ND FLOOR
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City | CINCINNATI
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State | OH
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Zip | 45206-2901
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Country | US
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Telephone | 513-241-2123
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Fax | 513-241-0417
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Provider Business Mailing Address
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Address Line | 2181 VICTORY PARKWAY 2ND FLOOR
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City | CINCINNATI
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State | OH
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Zip | 45206-2906
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Country | US
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Telephone | 513-241-2123
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Fax | 513-221-0810
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Authorized Official
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Title or Position | OWNER
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Name | GEARLINE MONHOLLEN
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Credential |
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Telephone | 859-525-1459
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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 |
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License Number State |
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