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General NPI Number Information
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NPI Number | 1881522621
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Entity Type | Organization
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Legal Business Name | BRACE RECOVERY SERVICES LLC
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Dates
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Enumeration Date | 05/12/2026
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Last Update Date | 05/12/2026
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Provider Practice Location Address
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Address Line | 11 CHERRY HILL DR
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City | WATERVILLE
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State | ME
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Zip | 04901-4503
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Country | US
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Telephone | 240-224-3209
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Fax | 240-224-3209
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Provider Business Mailing Address
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Address Line | 11 CHERRY HILL DR
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City | WATERVILLE
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State | ME
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Zip | 04901-4503
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Country | US
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Telephone | 240-224-3209
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Fax | 240-224-3209
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Authorized Official
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Title or Position | OWNER
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Name | JESSE D DAMRON
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Credential | LADC, LSX, MHRT/C
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Telephone | 240-224-3209
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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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