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General NPI Number Information
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NPI Number | 1508049305
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Entity Type | Organization
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Legal Business Name | MEDICAL ASSISTED RECOVERY, INC.
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Dates
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Enumeration Date | 12/14/2007
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 875 CENTERVILLE RD
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City | WARWICK
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State | RI
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Zip | 02886-4381
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Country | US
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Telephone | 508-675-2266
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Fax |
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Provider Business Mailing Address
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Address Line | 875 CENTERVILLE RD
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City | WARWICK
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State | RI
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Zip | 02886-4381
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Country | US
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Telephone | 401-615-8500
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Fax | 401-615-8503
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | SYLVESTER C SVIOKLA
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Credential |
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Telephone | 401-615-8500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | MD 06091
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License Number State | RI
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