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General NPI Number Information
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NPI Number | 1043385578
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Entity Type | Organization
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Legal Business Name | RESTORATIVE MANAGEMENT CORP
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 03/23/2017
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Provider Practice Location Address
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Address Line | 7 RAILROAD AVE
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City | MIDDLETOWN
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State | NY
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Zip | 10940-4907
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Country | US
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Telephone | 845-342-5941
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Fax | 845-393-8011
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Provider Business Mailing Address
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Address Line | 3839 FLATLANDS AVE SUITE 201
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City | BROOKLYN
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State | NY
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Zip | 11234-3533
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Country | US
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Telephone | 718-436-5151
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MR. DAVID SCHARF
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Credential |
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Telephone | 718-436-5151
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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 | 97010920
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License Number State | NY
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