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General NPI Number Information
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NPI Number | 1336797190
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Entity Type | Organization
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Legal Business Name | ACHIEVE REHABILITATION SERVICES AND SUPPORTS
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Dates
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Enumeration Date | 08/26/2019
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 708 W WASHINGTON ST STE 1
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City | NEW CASTLE
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State | PA
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Zip | 16101-6968
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Country | US
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Telephone | 724-977-8928
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Fax |
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Provider Business Mailing Address
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Address Line | 708 W WASHINGTON ST STE 1
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City | NEW CASTLE
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State | PA
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Zip | 16101-6968
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Country | US
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Telephone | 724-977-8928
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | IAN HRICIK
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Credential |
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Telephone | 724-977-8928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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