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General NPI Number Information
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NPI Number | 1215806633
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Entity Type | Organization
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Legal Business Name | OPUS RECOVERY INC.
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 1910 S PRIEST DR
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City | TEMPE
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State | AZ
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Zip | 85281-6207
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Country | US
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Telephone | 480-520-0003
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Fax |
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Provider Business Mailing Address
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Address Line | 1910 S PRIEST DR
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City | TEMPE
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State | AZ
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Zip | 85281-6207
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Country | US
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Telephone |
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Fax | 480-520-0003
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MISAK TADEVOSSIAN
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Credential |
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Telephone | 310-299-6208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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