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General NPI Number Information
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NPI Number | 1083535066
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Entity Type | Organization
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Legal Business Name | COMPASS RECOVERY COUNSELING LLC
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Dates
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Enumeration Date | 07/23/2026
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Last Update Date | 07/23/2026
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Provider Practice Location Address
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Address Line | 635 MASS AVE
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City | ARLINGTON
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State | MA
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Zip | 02476-5002
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Country | US
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Telephone | 617-444-9487
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Fax |
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Provider Business Mailing Address
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Address Line | 70 SAINT JOSEPH AVE
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City | FITCHBURG
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State | MA
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Zip | 01420-4023
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Country | US
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Telephone | 978-400-8150
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DARA WILSON
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Credential | LADC I
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Telephone | 617-444-9487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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