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General NPI Number Information
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NPI Number | 1336075829
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Entity Type | Organization
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Legal Business Name | WRG PA LLC
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Dates
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Enumeration Date | 06/22/2026
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 239 4TH AVE STE 1402
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City | PITTSBURGH
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State | PA
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Zip | 15222-1715
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Country | US
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Telephone | 330-271-8486
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Fax |
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Provider Business Mailing Address
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Address Line | 1457 CENTRAL PARKWAY AVE SE
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City | WARREN
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State | OH
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Zip | 44484-4458
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Country | US
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Telephone | 330-271-8486
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Fax | 330-662-6601
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Authorized Official
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Title or Position | CEO
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Name | DANDRE BOWERS
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Credential |
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Telephone | 330-271-8486
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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