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NPI 1710852165

NPI 1710852165 : ACCESS AND CARE RECOVERY HOME : PROVIDENCE, RI

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General NPI Number Information
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    NPI Number           |    1710852165
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    Entity Type          |    Organization 
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    Legal Business Name  |    ACCESS AND CARE RECOVERY HOME 
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Dates
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    Enumeration Date     |    10/07/2025
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    Last Update Date     |    03/20/2026
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Provider Practice Location Address
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    Address Line         |    787 MANTON AVE 
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    City                 |    PROVIDENCE
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    State                |    RI
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    Zip                  |    02909-5616
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    Country              |    US
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    Telephone            |    401-659-4216
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    787 MANTON AVE 
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    City                 |    PROVIDENCE
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    State                |    RI
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    Zip                  |    02909-5616
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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    |    DIRECTOR/ FOUNDER
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    Name                 |     ANN  CLAUDE 
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    Credential           |    
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    Telephone            |    617-606-1711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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