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General NPI Number Information
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NPI Number | 1295612166
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Entity Type | Organization
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Legal Business Name | RECOVERY CENTERS OF AMERICA OUTPATIENT SERVICES DE LLC
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Dates
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Enumeration Date | 08/20/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 100 BIDDLE AVE STE 101B
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City | NEWARK
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State | DE
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Zip | 19702-3982
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Country | US
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Telephone | 610-994-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 RENAISSANCE BLVD FL 3
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-2709
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Country | US
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Telephone | 610-994-2900
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Fax |
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Authorized Official
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Title or Position | CONTRACTS PAYOR MANAGER
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Name | MR. MARWAN ASMAR
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Credential |
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Telephone | 484-633-1228
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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 | 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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