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General NPI Number Information
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NPI Number | 1912877465
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Entity Type | Organization
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Legal Business Name | RELENTLESS RECOVERY LLC
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Dates
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Enumeration Date | 11/10/2025
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Last Update Date | 11/10/2025
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Provider Practice Location Address
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Address Line | 3720 23RD AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55407-3010
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Country | US
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Telephone | 612-272-6978
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Fax |
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Provider Business Mailing Address
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Address Line | 3720 23RD AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55407-3010
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Country | US
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Telephone | 612-272-6978
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Fax |
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Authorized Official
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Title or Position | OWNER/TREATMENT DIRECTOR/LADC
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Name | DEREK ERICKSON
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Credential | LADC
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Telephone | 612-272-6978
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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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