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General NPI Number Information
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NPI Number | 1770396996
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Entity Type | Organization
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Legal Business Name | OUT OF THE DARKNESS, INC
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Dates
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Enumeration Date | 01/30/2025
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 169 SAINT BRIDGETS DR
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City | ROCHESTER
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State | NY
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Zip | 14605-1839
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Country | US
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Telephone | 718-960-7522
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Fax | 718-583-6439
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Provider Business Mailing Address
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Address Line | 311 E 175TH ST
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City | BRONX
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State | NY
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Zip | 10457-5859
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Country | US
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Telephone | 718-967-7522
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Fax | 718-583-6439
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Authorized Official
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Title or Position | DIRECTOR REVENUE CYCLE
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Name | BRIGHT AKHERE
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Credential |
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Telephone | 718-960-7605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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