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General NPI Number Information
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NPI Number | 1306538152
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Entity Type | Organization
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Legal Business Name | Y NOT FAMILIES
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Dates
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Enumeration Date | 05/22/2023
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Last Update Date | 05/22/2023
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Provider Practice Location Address
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Address Line | 4680 LIBERTY AVE
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City | VERMILION
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State | OH
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Zip | 44089-3243
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Country | US
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Telephone | 301-461-8357
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Fax |
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Provider Business Mailing Address
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Address Line | 4680 LIBERTY AVE
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City | VERMILION
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State | OH
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Zip | 44089-3243
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Country | US
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Telephone | 301-461-8357
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BRANDON MCNEIL
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Credential |
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Telephone | 301-461-8357
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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 |
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License Number State |
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