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General NPI Number Information
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NPI Number | 1043718588
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Entity Type | Organization
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Legal Business Name | BEACON POINT RECOVERY CENTER, LLC.
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Dates
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Enumeration Date | 01/30/2018
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 2301 E ALLEGHENY AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19134-4427
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Country | US
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Telephone | 215-622-6496
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Fax |
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Provider Business Mailing Address
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Address Line | 2301 E ALLEGHENY AVE FL 2
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City | PHILADELPHIA
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State | PA
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Zip | 19134-4427
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Country | US
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Telephone | 267-315-4352
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF ADMINISTRATIVE SERVICES
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Name | SEAN SULLIVAN
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Credential |
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Telephone | 561-678-8600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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