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General NPI Number Information
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NPI Number | 1588709604
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Entity Type | Organization
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Legal Business Name | NEW JOURNEYS IN RECOVERY
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 07/20/2016
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Provider Practice Location Address
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Address Line | 166 W LEHIGH AVENUE
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City | PHILADELPHIA
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State | PA
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Zip | 19133-2802
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Country | US
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Telephone | 215-634-3669
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Fax | 215-634-3670
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Provider Business Mailing Address
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Address Line | 166 W LEHIGH AVENUE
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City | PHILADELPHIA
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State | PA
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Zip | 19133-2802
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Country | US
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Telephone | 215-634-3669
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Fax | 215-634-3670
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Authorized Official
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Title or Position | PRESIDENT/CHAIRMAN
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Name | MR. LAWRENCE GALLAGHER JR.
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Credential | MS,CAC,CJAP
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Telephone | 215-778-2504
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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 | 807235
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License Number State | PA
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Taxonomy #2
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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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