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General NPI Number Information
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NPI Number | 1073902797
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Entity Type | Organization
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Legal Business Name | RECOVERING LIFE SERVICES
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Dates
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Enumeration Date | 01/19/2015
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Last Update Date | 07/26/2021
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Provider Practice Location Address
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Address Line | 155 MAIN DUNSTABLE RD STE 130
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City | NASHUA
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State | NH
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Zip | 03060-3669
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Country | US
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Telephone | 603-546-6011
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Fax | 603-577-1679
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Provider Business Mailing Address
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Address Line | 155 MAIN DUNSTABLE RD STE 130
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City | NASHUA
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State | NH
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Zip | 03060-3669
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Country | US
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Telephone | 603-546-6011
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | EDMUND MCDONOUGH
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Credential |
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Telephone | 844-448-0123
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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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