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General NPI Number Information
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NPI Number | 1235453267
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Entity Type | Organization
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Legal Business Name | PASSAGES TO RECOVERY, INC.
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Dates
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Enumeration Date | 03/19/2010
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | 564 FORBES AVENUE SUITE 930
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City | PITTSBURGH
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State | PA
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Zip | 15219-2903
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Country | US
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Telephone | 412-535-4310
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Fax | 412-535-4344
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Provider Business Mailing Address
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Address Line | 564 FORBES AVENUE SUITE 930
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City | PITTSBURGH
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State | PA
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Zip | 15219-2903
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Country | US
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Telephone | 412-535-4310
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Fax | 412-535-4344
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. CAROL A. HERTZ
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Credential |
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Telephone | 412-535-4310
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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 | 707177
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License Number State | PA
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