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General NPI Number Information
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NPI Number | 1063717064
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Entity Type | Organization
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Legal Business Name | FIRETREE, LTD.
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Dates
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Enumeration Date | 01/21/2011
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 9143 ROUTE 119 HIGHWAY SOUTH
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City | BLAIRSVILLE
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State | PA
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Zip | 15717-6731
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Country | US
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Telephone | 724-471-3037
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Fax | 724-471-7105
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Provider Business Mailing Address
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Address Line | 9143 ROUTE 119 HWY S
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City | BLAIRSVILLE
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State | PA
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Zip | 15717-8823
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Country | US
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Telephone | 724-471-3037
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Fax | 724-471-7105
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Authorized Official
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Title or Position | DIRECTOR OF ADMINISTRATION
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Name | SCOTT SNYDER
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Credential |
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Telephone | 570-601-0877
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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 | 327023
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License Number State | PA
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