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NPI Code Detail

MEDICARE: PNP RECOVERY

MEDICARE: PNP RECOVERY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1699471318
Entity Type Code : Organization
Provider Name (Legal Business Name) : PNP RECOVERY
Provider Business Mailing Address
First Line : 215 S ALLISON AVE
Second Line :
City : XENIA
State : OH
Zip : 45385-3694
Country : US
Telephone Number : 937-352-6490
Fax Number : 937-888-4008
Provider Business Practice Location Address
First Line : 215 S ALLISON AVE
Second Line :
City : XENIA
State : OH
Zip : 45385-3694
Country : US
Telephone Number : 937-352-6490
Fax Number : 937-888-4008
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : KIMBERLY A HANDEGARD
Credential :
Telephone Number : 937-401-2594
Provider Enumeration Date : 02/03/2023
Last Update Date : 12/02/2025

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1952581944 — MR. MARK D WEBSTER PA-C
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Directions to “PNP RECOVERY ” Practice Location

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