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General NPI Number Information
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NPI Number | 1497875314
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Entity Type | Organization
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Legal Business Name | COUNCIL ON ALCOHOL AND DRUG ABUSE
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 12/14/2010
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Provider Practice Location Address
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Address Line | 1031 W LINDEN ST SUITE 202
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City | ALLENTOWN
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State | PA
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Zip | 18102-3988
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Country | US
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Telephone | 610-437-0801
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Fax | 610-437-1997
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Provider Business Mailing Address
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Address Line | 1031 W LINDEN ST SUITE 202
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City | ALLENTOWN
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State | PA
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Zip | 18102-3988
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Country | US
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Telephone | 610-437-0801
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Fax | 610-437-1997
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ANNETTE D. HORNER
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Credential |
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Telephone | 610-437-0801
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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 | 391144
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License Number State | PA
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