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General NPI Number Information
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NPI Number | 1477331627
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Entity Type | Organization
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Legal Business Name | PATHFINDERS RECOVERY CENTER, LLC
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Dates
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Enumeration Date | 09/19/2023
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 7585 E REDFIELD RD SUITE 207
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City | SCOTTSDALE
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State | AZ
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Zip | 85260
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Country | US
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Telephone | 480-418-1148
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Fax | 480-718-7374
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Provider Business Mailing Address
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Address Line | 1720 LAKEPOINTE DR STE 117
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City | LEWISVILLE
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State | TX
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Zip | 75057-6425
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Country | US
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Telephone | 214-379-3300
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Fax |
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Authorized Official
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Title or Position | VP, TREASURER
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Name | BRUCE JARVIE
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Credential |
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Telephone | 217-379-3300
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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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