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General NPI Number Information
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NPI Number | 1659584290
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Entity Type | Organization
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Legal Business Name | RECOVERY RESOURCES, LLC
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12 CASE ST SUITE 205
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City | NORWICH
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State | CT
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Zip | 06360-2222
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Country | US
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Telephone | 869-889-0511
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Fax | 860-889-0519
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Provider Business Mailing Address
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Address Line | 12 CASE ST SUITE 205
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City | NORWICH
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State | CT
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Zip | 06360-2222
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Country | US
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Telephone | 869-889-0511
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Fax | 860-889-0519
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | REGINA GAGLIARDO
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Credential |
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Telephone | 860-889-0511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HCA0000151
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License Number State | CT
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