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General NPI Number Information
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NPI Number | 1093059784
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Entity Type | Organization
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Legal Business Name | THE RECOVERY TEAM, INC
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Dates
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Enumeration Date | 11/19/2012
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 705 LINTON BLVD
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City | DELRAY BEACH
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State | FL
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Zip | 33444-8164
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Country | US
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Telephone | 561-612-4618
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Fax |
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Provider Business Mailing Address
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Address Line | 2925 10TH AVE N
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City | PALM SPRINGS
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State | FL
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Zip | 33461-3000
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Country | US
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Telephone | 561-882-9821
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Fax | 561-882-9561
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. KIRILL VESSELOV
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Credential |
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Telephone | 561-461-3791
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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 | 1550AD121401
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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