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General NPI Number Information
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NPI Number | 1699656595
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Entity Type | Organization
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Legal Business Name | KIWI RECOVERY, LLC
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 77 POND AVE APT 205C
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City | BROOKLINE
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State | MA
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Zip | 02445-7113
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Country | US
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Telephone | 617-676-9847
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Fax |
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Provider Business Mailing Address
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Address Line | 77 POND AVE APT 205C
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City | BROOKLINE
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State | MA
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Zip | 02445-7113
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ABRAHAM FRIED
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Credential |
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Telephone | 617-545-3344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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