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General NPI Number Information
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NPI Number | 1689700668
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Entity Type | Organization
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Legal Business Name | ADDISON BEHAVIORAL CARE, INC.
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 10/25/2007
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Provider Practice Location Address
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Address Line | 905 WEST ST FOUTH FLOOR
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City | PITTSBURGH
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State | PA
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Zip | 15221-2833
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Country | US
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Telephone | 412-731-2353
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Fax | 412-731-2380
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Provider Business Mailing Address
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Address Line | 905 WEST ST FOUTH FLOOR
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City | PITTSBURGH
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State | PA
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Zip | 15221-2833
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Country | US
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Telephone | 412-731-2353
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Fax | 412-731-2380
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. SYLVIA E. NANJI
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Credential | MPA
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Telephone | 412-731-2353
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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 | 707206
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License Number State | PA
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