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General NPI Number Information
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NPI Number | 1659243103
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Entity Type | Organization
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Legal Business Name | RURAL RECOVERY RESOURCES INC
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 67 STATE RD
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City | GREAT BARRINGTON
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State | MA
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Zip | 01230-1364
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Country | US
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Telephone | 413-645-3564
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Fax |
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Provider Business Mailing Address
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Address Line | 67 STATE RD
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City | GREAT BARRINGTON
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State | MA
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Zip | 01230-1364
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Country | US
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Telephone | 413-645-3564
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. GARY PRATT
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Credential | LADC II
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Telephone | 413-854-5828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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