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General NPI Number Information
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NPI Number | 1073456984
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Entity Type | Organization
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Legal Business Name | STEALS RECOVERY FOUNDATION
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Dates
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Enumeration Date | 04/14/2026
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 409 W 9TH ST APT 1F
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City | ERIE
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State | PA
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Zip | 16502-3311
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Country | US
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Telephone | 814-207-8609
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Fax |
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Provider Business Mailing Address
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Address Line | 409 W 9TH ST APT 1F
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City | ERIE
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State | PA
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Zip | 16502-3311
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Country | US
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Telephone | 814-207-8609
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Fax |
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Authorized Official
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Title or Position | FOUNDER & BOARD CHAIR
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Name | ANTWON STEALS
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Credential | CRS
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Telephone | 814-207-8609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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