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General NPI Number Information
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NPI Number | 1760514699
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Entity Type | Organization
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Legal Business Name | WENDEN RECOVERY SERVICES, INC
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Dates
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Enumeration Date | 03/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 69 LAFAYETTE ST
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City | WINONA
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State | MN
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Zip | 55987-3453
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Country | US
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Telephone | 507-454-2839
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Fax | 507-454-5864
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Provider Business Mailing Address
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Address Line | 217 PLUM ST ARMORY CENTER SUITE 220
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City | RED WING
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State | MN
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Zip | 55066-2351
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Country | US
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Telephone | 651-385-0600
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Fax | 651-388-2128
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Authorized Official
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Title or Position | OWNER
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Name | MR. ADAM GARCIA
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Credential | LADC
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Telephone | 651-385-0600
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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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