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General NPI Number Information
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NPI Number | 1396659900
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Entity Type | Organization
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Legal Business Name | PRIME RECOVERY LLC
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 20175 COUNTY ROAD 50
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City | CORCORAN
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State | MN
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Zip | 55340-9345
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Country | US
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Telephone | 651-374-9026
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Fax | 612-642-2526
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Provider Business Mailing Address
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Address Line | 20175 COUNTY ROAD 50
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City | CORCORAN
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State | MN
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Zip | 55340-9345
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Country | US
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Telephone | 651-374-9026
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Fax | 612-642-2526
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Authorized Official
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Title or Position | OWNER
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Name | CHAD L ROBRAN
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Credential |
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Telephone | 612-965-7539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | NULL
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