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General NPI Number Information
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NPI Number | 1063633774
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Entity Type | Organization
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Legal Business Name | RECOVERY NETWORK OF PROGRAMS, INC.
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 06/25/2013
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Provider Practice Location Address
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Address Line | 2 RESEARCH DR
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City | STRATFORD
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State | CT
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Zip | 06615-7126
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Country | US
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Telephone | 203-386-8802
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Fax | 203-386-8369
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Provider Business Mailing Address
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Address Line | 2 TRAP FALLS RD SUITE 405
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City | SHELTON
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State | CT
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Zip | 06484-4616
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Country | US
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Telephone | 203-386-8802
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Fax | 203-386-8369
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. JOHN HAMILTON
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Credential |
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Telephone | 203-929-1954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 00000302
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License Number State | CT
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