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General NPI Number Information
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NPI Number | 1780235929
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Entity Type | Organization
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Legal Business Name | WADDINGTON REHAB CENTER LLC
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Dates
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Enumeration Date | 09/27/2019
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Last Update Date | 11/25/2020
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Provider Practice Location Address
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Address Line | 2681 WADDINGTON AVE
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City | PITTSBURGH
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State | PA
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Zip | 15226-1758
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Country | US
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Telephone | 412-207-2186
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Fax |
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Provider Business Mailing Address
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Address Line | 100 STOOPS DR STE 240
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City | MONONGAHELA
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State | PA
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Zip | 15063-3553
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Country | US
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Telephone | 724-483-4282
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Fax | 724-483-4078
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ARIF RAFI
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Credential | MD
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Telephone | 724-483-4282
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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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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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