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General NPI Number Information
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NPI Number | 1346389525
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Entity Type | Organization
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Legal Business Name | FIRETREE, LTD.
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 202-204 S. CENTRE ST.
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City | POTTSVILLE
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State | PA
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Zip | 17901
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Country | US
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Telephone | 610-628-5835
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Fax | 610-628-5838
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Provider Business Mailing Address
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Address Line | 202-204 S. CENTRE ST.
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City | POTTSVILLE
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State | PA
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Zip | 17901
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Country | US
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Telephone | 610-628-5835
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Fax | 610-628-5838
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Authorized Official
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Title or Position | DIRECTOR OF ADMINISTRATION
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Name | SCOTT SNYDER
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Credential |
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Telephone | 570-601-0877
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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 | 067068
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License Number State | PA
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