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General NPI Number Information
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NPI Number | 1407768096
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Entity Type | Organization
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Legal Business Name | PA HEALTHCARE VENTURES LLC
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Dates
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Enumeration Date | 09/19/2026
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Last Update Date | 09/19/2026
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Provider Practice Location Address
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Address Line | 1288 VETERANS HWY
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City | LEVITTOWN
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State | PA
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Zip | 19056-1616
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Country | US
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Telephone | 215-810-0061
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Fax |
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Provider Business Mailing Address
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Address Line | 11 MALVERN HILL RD
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City | STERLING
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State | MA
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Zip | 01564-2829
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Country | US
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Telephone | 774-452-3039
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MICHAEL HURLEY
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Credential |
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Telephone | 774-452-3039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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