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General NPI Number Information
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NPI Number | 1275659260
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Entity Type | Organization
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Legal Business Name | SOJOURNER HOUSE, INC.
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5460 PENN AVE
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City | PITTSBURGH
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State | PA
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Zip | 15206-3455
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Country | US
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Telephone | 412-441-7783
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Fax | 412-441-3409
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Provider Business Mailing Address
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Address Line | 5460 PENN AVE
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City | PITTSBURGH
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State | PA
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Zip | 15206-3455
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Country | US
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Telephone | 412-441-7783
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Fax | 412-441-3409
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. NORMA R RAIFF
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Credential | LSW, PHD.
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Telephone | 412-441-7783
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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 | 707160
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License Number State | PA
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