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General NPI Number Information
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NPI Number | 1740104116
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Entity Type | Organization
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Legal Business Name | CORNERSTONE RECOVERY RESIDENCE LLC
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 40 VERNON ST
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City | WORCESTER
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State | MA
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Zip | 01610
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Country | US
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Telephone | 978-866-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 12 GAMBIA ST
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City | HUDSON
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State | NH
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Zip | 03051-3624
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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 | OWNER
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Name | DAN MURPHY
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Credential |
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Telephone | 978-221-5967
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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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