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General NPI Number Information
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NPI Number | 1689523128
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Entity Type | Organization
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Legal Business Name | PARADIGM RECOVERY, LLC
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 1125 N GREENWOOD ST STE 10
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City | PUEBLO
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State | CO
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Zip | 81003-2833
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Country | US
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Telephone | 720-989-0025
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Fax |
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Provider Business Mailing Address
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Address Line | 14109 E EXPOSITION AVE
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City | AURORA
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State | CO
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Zip | 80012-2523
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Country | US
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Telephone | 720-989-0025
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | YEVGENIY SHVEDOV
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Credential |
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Telephone | 720-989-0025
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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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