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General NPI Number Information
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NPI Number | 1679449052
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Entity Type | Organization
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Legal Business Name | BDR RECOVERY HOLDINGS 11 LINCOLN LLC
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Dates
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Enumeration Date | 10/14/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 11 LINCOLN ST
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City | ROCHESTER
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State | NH
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Zip | 03867-3008
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Country | US
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Telephone | 603-699-9000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 67013
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City | CHESTNUT HILL
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State | MA
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Zip | 02467-0001
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Country | US
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Telephone | 603-699-9000
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. SCOTT D CARTER
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Credential |
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Telephone | 603-699-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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