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General NPI Number Information
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NPI Number | 1063364727
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Entity Type | Organization
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Legal Business Name | GROUPS RECOVER TOGETHER - OREGON LLC
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Dates
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Enumeration Date | 02/13/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 4620 SE INTERNATIONAL WAY STE 106
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City | MILWAUKIE
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State | OR
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Zip | 97222-4660
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Country | US
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Telephone | 800-683-8313
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Fax |
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Provider Business Mailing Address
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Address Line | 111 S BEDFORD ST STE 205
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City | BURLINGTON
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State | MA
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Zip | 01803-5145
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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
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Name | COOPER ZELNICK
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Credential |
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Telephone | 800-683-8313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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