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General NPI Number Information
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NPI Number | 1144574161
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Entity Type | Organization
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Legal Business Name | ADDICTION TREATMENT RESOURCES
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Dates
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Enumeration Date | 10/29/2012
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Last Update Date | 10/29/2012
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Provider Practice Location Address
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Address Line | 1505 HARROUN AVE
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City | MCKINNEY
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State | TX
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Zip | 75069-3432
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Country | US
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Telephone | 972-548-0209
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Fax | 972-548-0306
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Provider Business Mailing Address
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Address Line | 1505 HARROUN AVE
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City | MCKINNEY
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State | TX
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Zip | 75069-3432
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Country | US
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Telephone | 972-548-0209
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Fax | 972-548-0306
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. ROBERT ALTERMAN
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Credential | LCDC
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Telephone | 972-548-0209
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 3388-3389
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License Number State | TX
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