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General NPI Number Information
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NPI Number | 1750261434
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Entity Type | Organization
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Legal Business Name | BRITELIFE RECOVERY AT HANOVER LLC
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 544 IRON RIDGE RD
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City | HANOVER
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State | PA
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Zip | 17331-6838
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Country | US
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Telephone | 866-470-1464
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Fax | 843-869-8041
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Provider Business Mailing Address
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Address Line | 180 SYLVAN AVE STE 4
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-2519
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Country | US
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Telephone | 347-622-3605
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Fax | 908-440-4024
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Authorized Official
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Title or Position | OWNER
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Name | TUVIA FRIEDMAN
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Credential |
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Telephone | 347-622-3605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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