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General NPI Number Information
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NPI Number | 1386583094
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Entity Type | Organization
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Legal Business Name | RISING ROOTS RECOVERY LLC
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Dates
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Enumeration Date | 03/27/2026
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Last Update Date | 03/27/2026
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Provider Practice Location Address
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Address Line | 18062 MEADOW CREEK DR
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City | EAGLE RIVER
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State | AK
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Zip | 99577-8233
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Country | US
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Telephone | 907-888-8234
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Fax |
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Provider Business Mailing Address
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Address Line | 821 N ST STE 102
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City | ANCHORAGE
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State | AK
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Zip | 99501-3285
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Country | US
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Telephone | 907-888-8234
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER/PHARMACIST
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Name | DR. CARRIE URENA
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Credential | PHARMD
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Telephone | 907-888-8234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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