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General NPI Number Information
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NPI Number | 1093104796
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Entity Type | Organization
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Legal Business Name | RECOVERY UNITED PITTSBURGH FOUNDATION INC.
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Dates
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Enumeration Date | 01/19/2015
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Last Update Date | 01/19/2015
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Provider Practice Location Address
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Address Line | 409 DINWIDDIE ST
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City | PITTSBURGH
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State | PA
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Zip | 15219-3367
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Country | US
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Telephone | 412-291-8038
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Fax |
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Provider Business Mailing Address
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Address Line | 158 WOODHALL DR
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City | PITTSBURGH
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State | PA
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Zip | 15236-2925
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Country | US
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Telephone | 412-339-6787
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Fax | 412-502-5122
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Authorized Official
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Title or Position | CFO
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Name | ALI BRADLEY
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Credential |
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Telephone | 412-339-6787
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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 | 707283
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License Number State | PA
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