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NPI 1588051148

NPI 1588051148 : BRAKING POINT RECOVERY CENTER : YOUNGSTOWN, OH

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General NPI Number Information
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    NPI Number           |    1588051148
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    Entity Type          |    Organization 
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    Legal Business Name  |    BRAKING POINT RECOVERY CENTER 
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Dates
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    Enumeration Date     |    04/22/2015
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    Last Update Date     |    05/11/2015
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Provider Practice Location Address
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    Address Line         |    45 N CANFIELD NILES RD SUITE 1000
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    City                 |    YOUNGSTOWN
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    State                |    OH
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    Zip                  |    44515-2343
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    Country              |    US
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    Telephone            |    330-270-2380
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    Fax                  |    330-270-2383
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Provider Business Mailing Address
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    Address Line         |    45 N CANFIELD NILES RD SUITE 1000
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    City                 |    YOUNGSTOWN
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    State                |    OH
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    Zip                  |    44515-2343
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    Country              |    US
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    Telephone            |    330-270-2380
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    Fax                  |    330-270-2383
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     RYAN P SHERIDAN 
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    Credential           |    
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    Telephone            |    330-270-2380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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