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NPI 1396475752

NPI 1396475752 : NULIFE RECOVERY SERVICES INC : WORCESTER, MA

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General NPI Number Information
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    NPI Number           |    1396475752
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    Entity Type          |    Organization 
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    Legal Business Name  |    NULIFE RECOVERY SERVICES INC 
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Dates
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    Enumeration Date     |    06/16/2022
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    Last Update Date     |    07/22/2025
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Provider Practice Location Address
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    Address Line         |    359 MAIN ST 
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    City                 |    WORCESTER
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    State                |    MA
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    Zip                  |    01608-1511
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    Country              |    US
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    Telephone            |    866-370-2556
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1451 ROUTE 88 STE 5 
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    City                 |    BRICK
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    State                |    NJ
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    Zip                  |    08724-2371
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    Country              |    US
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    Telephone            |    845-372-6480
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ALEX  ZEIGER 
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    Credential           |    
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    Telephone            |    845-372-6480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health 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        |    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 #3
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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