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General NPI Number Information
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NPI Number | 1649500471
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Entity Type | Organization
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Legal Business Name | ROADS TO RECOVERY INC.
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Dates
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Enumeration Date | 12/29/2009
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Last Update Date | 12/29/2009
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Provider Practice Location Address
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Address Line | 211 1/2 E LOCUST ST SUITE #7
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City | CLEARFIELD
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State | PA
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Zip | 16830-2419
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Country | US
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Telephone | 814-765-0302
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Fax | 814-765-0262
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Provider Business Mailing Address
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Address Line | 211 1/2 E LOCUST ST SUITE #7
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City | CLEARFIELD
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State | PA
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Zip | 16830-2419
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Country | US
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Telephone | 814-765-0302
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Fax | 814-765-0262
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KELLY HAWKINS
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Credential |
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Telephone | 814-765-0302
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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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