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General NPI Number Information
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NPI Number | 1407024698
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Entity Type | Organization
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Legal Business Name | THE SUMMIT SCHOOL, INC.
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 02/22/2008
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Provider Practice Location Address
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Address Line | 839 HERMAN RD
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City | HERMAN
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State | PA
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Zip | 16039
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Country | US
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Telephone | 724-282-1995
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Fax | 724-282-2135
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Provider Business Mailing Address
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Address Line | PO BOX 13
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City | HERMAN
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State | PA
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Zip | 16039-0013
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Country | US
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Telephone | 724-282-1995
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Fax | 724-282-2135
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JOHN D. MCCLOUD
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Credential |
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Telephone | 724-282-1995
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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