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General NPI Number Information
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NPI Number | 1831899368
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Entity Type | Organization
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Legal Business Name | RESTORATION RECOVERY CENTER
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Dates
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Enumeration Date | 03/03/2023
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Last Update Date | 03/03/2023
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Provider Practice Location Address
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Address Line | 40 FAIRMOUNT ST
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City | FITCHBURG
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State | MA
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Zip | 01420-7612
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Country | US
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Telephone | 978-430-0412
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Fax | 978-964-0263
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Provider Business Mailing Address
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Address Line | 40 FAIRMOUNT ST
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City | FITCHBURG
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State | MA
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Zip | 01420-7612
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Country | US
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Telephone | 978-430-0412
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Fax | 978-964-0263
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | JULIA ARMSTRONG
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Credential |
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Telephone | 978-430-0412
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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