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General NPI Number Information
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NPI Number | 1407991409
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Entity Type | Organization
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Legal Business Name | RIVERBEND
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 101 JACKSON ST 4TH FLOOR
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City | LOWELL
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State | MA
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Zip | 01852-2103
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Country | US
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Telephone | 978-459-8656
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Fax | 978-937-2559
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Provider Business Mailing Address
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Address Line | 101 JACKSON ST 4TH FLOOR
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City | LOWELL
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State | MA
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Zip | 01852-2103
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Country | US
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Telephone | 978-459-8656
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Fax | 978-937-2559
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Authorized Official
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Title or Position | BILLING & CREDENTIALING ANALYST
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Name | LITMARIE REYES MELENDEZ
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Credential |
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Telephone | 978-788-8879
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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 | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 0282
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0554
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License Number State | MA
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