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General NPI Number Information
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NPI Number | 1699481952
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Entity Type | Organization
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Legal Business Name | A NEW OUTLOOK RECOVERY SERVICES, LLC
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Dates
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Enumeration Date | 01/30/2023
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 9200 E MINERAL AVE STE 250
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City | CENTENNIAL
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State | CO
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Zip | 80112-3412
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Country | US
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Telephone | 303-798-2196
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Fax | 303-730-2418
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Provider Business Mailing Address
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Address Line | 9200 E MINERAL AVE STE 250
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City | CENTENNIAL
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State | CO
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Zip | 80112-3412
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Country | US
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Telephone | 303-798-2196
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Fax | 303-730-2418
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ROBERT J. JOHNSON
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Credential | SAP, MAC, LAC
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Telephone | 303-798-2196
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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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Taxonomy #2
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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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