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General NPI Number Information
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NPI Number | 1417379231
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Entity Type | Organization
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Legal Business Name | ADDICTION & BEHAVIORAL COUNSELING ASSOCIATES
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Dates
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Enumeration Date | 01/14/2014
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Last Update Date | 12/12/2016
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Provider Practice Location Address
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Address Line | 1122 7TH AVE
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City | BEAVER FALLS
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State | PA
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Zip | 15010-4480
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Country | US
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Telephone | 724-843-0129
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Fax |
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Provider Business Mailing Address
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Address Line | 1122 7TH AVE
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City | BEAVER FALLS
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State | PA
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Zip | 15010-4480
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Country | US
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Telephone | 724-770-9820
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Fax |
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Authorized Official
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Title or Position | FACILTY DIRECTOR
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Name | SANDEE MCKEEL
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Credential |
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Telephone | 724-513-5775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 047053
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 047053
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License Number State | PA
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Taxonomy #3
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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 | 047053
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License Number State | PA
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