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General NPI Number Information
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NPI Number | 1770817272
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Entity Type | Organization
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Legal Business Name | HIGH POINT TREATMENT CENTER
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Dates
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Enumeration Date | 09/30/2009
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Last Update Date | 09/30/2009
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Provider Practice Location Address
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Address Line | 1233 STATE RD
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City | PLYMOUTH
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State | MA
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Zip | 02360-5133
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Country | US
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Telephone | 508-224-7701
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Fax |
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Provider Business Mailing Address
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Address Line | 1233 STATE RD
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City | PLYMOUTH
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State | MA
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Zip | 02360-5133
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Country | US
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Telephone | 508-224-7701
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | DANIEL S MUMBAUER
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Credential |
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Telephone | 508-997-0475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 214777
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License Number State | MA
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