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NPI 1306971007

NPI 1306971007 : RECOVERY INNOVATIONS, INC : PEORIA, AZ

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General NPI Number Information
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    NPI Number           |    1306971007
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    Entity Type          |    Organization 
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    Legal Business Name  |    RECOVERY INNOVATIONS, INC 
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Dates
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    Enumeration Date     |    02/22/2007
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    Last Update Date     |    10/31/2025
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Provider Practice Location Address
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    Address Line         |    11361 N 99TH AVE STE 200 
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    City                 |    PEORIA
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    State                |    AZ
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    Zip                  |    85345-5470
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    Country              |    US
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    Telephone            |    602-636-4605
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    Fax                  |    623-972-6173
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Provider Business Mailing Address
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    Address Line         |    11361 N 99TH AVE STE 402 
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    City                 |    PEORIA
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    State                |    AZ
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    Zip                  |    85345-5459
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    Country              |    US
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    Telephone            |    602-650-1212
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    Fax                  |    602-636-5283
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Authorized Official
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    Title or Position    |    AUTHORIZED OFFICIAL
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    Name                 |     PAMELA D SAULPAW 
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    Credential           |    
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    Telephone            |    602-898-7254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    283Q00000X
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    Taxonomy Name        |    Psychiatric Hospital
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    License Number       |    IFBH6890
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    License Number State |    AZ
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