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General NPI Number Information
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NPI Number | 1871456186
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Entity Type | Organization
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Legal Business Name | ROUGH TIMES RECOVEY
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Dates
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Enumeration Date | 12/04/2025
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 1007 S TEJON ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-4238
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Country | US
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Telephone | 719-922-9002
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Fax |
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Provider Business Mailing Address
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Address Line | 1007 S TEJON ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-4238
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Country | US
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Telephone | 719-922-9002
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RAYMUNDO CAMACHO
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Credential |
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Telephone | 719-922-9002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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