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General NPI Number Information
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NPI Number | 1376309302
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Entity Type | Organization
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Legal Business Name | PATHFINDER RECOVERY PLLC
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Dates
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Enumeration Date | 02/27/2024
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 500 EAST MAIN STREET
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City | BRANFORD
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State | CT
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Zip | 06405-2911
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Country | US
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Telephone | 203-599-3908
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Fax | 203-210-8641
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Provider Business Mailing Address
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Address Line | 29 EVERGREEN TER
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City | SEYMOUR
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State | CT
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Zip | 06483-3051
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Country | US
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Telephone | 203-599-3908
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Fax | 203-210-8641
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Authorized Official
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Title or Position | OWNER
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Name | DAVID J HENDRICKS
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Credential | MD
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Telephone | 203-813-4892
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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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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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