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General NPI Number Information
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NPI Number | 1447560461
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Entity Type | Organization
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Legal Business Name | RECOVERY CONCEPTS ADDICTION COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 10/08/2010
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Last Update Date | 08/12/2014
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Provider Practice Location Address
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Address Line | 233 E PITT ST SUITE # 6
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City | BEDFORD
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State | PA
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Zip | 15522-1324
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Country | US
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Telephone | 814-623-7370
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Fax | 814-623-7375
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Provider Business Mailing Address
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Address Line | 233 E PITT ST
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City | BEDFORD
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State | PA
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Zip | 15522-1324
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Country | US
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Telephone | 814-623-7370
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Fax | 814-623-7375
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Authorized Official
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Title or Position | PROJECT DIRECTOR
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Name | MS. LISA J. BASSI
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Credential | MA
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Telephone | 814-623-7370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 057008
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License Number State | PA
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Taxonomy #2
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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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