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General NPI Number Information
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NPI Number | 1326997909
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Entity Type | Organization
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Legal Business Name | RECOVERY CENTERS OF AMERICA OUTPATIENT SERVICES MA LLC
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Dates
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Enumeration Date | 01/26/2026
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 70 ELM ST
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City | WORCESTER
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State | MA
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Zip | 01609-2300
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Country | US
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Telephone | 610-994-2946
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Fax |
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Provider Business Mailing Address
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Address Line | 7 N WATERLOO RD PO BOX 155
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City | DEVON
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State | PA
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Zip | 19333-9998
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Country | US
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Telephone | 484-396-2138
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Fax | 484-393-4096
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Authorized Official
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Title or Position | DIRECTOR OF PAYOR RELATIONS
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Name | MR. RAY MOLINA
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Credential |
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Telephone | 954-716-2790
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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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Taxonomy #2
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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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