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General NPI Number Information
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NPI Number | 1346025467
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Entity Type | Organization
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Legal Business Name | RECOVERY MULTI SERVICES
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 08/30/2023
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Provider Practice Location Address
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Address Line | 18 OSPREY WAY
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City | DORCHESTER
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State | MA
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Zip | 02124-1667
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Country | US
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Telephone | 617-910-0487
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Fax |
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Provider Business Mailing Address
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Address Line | 18 OSPREY WAY
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City | DORCHESTER
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State | MA
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Zip | 02124-1667
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Country | US
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Telephone | 617-910-0487
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF RECOVERY SERVICES
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Name | MISS ZOBEIDA MEDERO
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Credential | CPS,
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Telephone | 617-910-0487
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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