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General NPI Number Information
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NPI Number | 1780771238
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Entity Type | Organization
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Legal Business Name | THE CENTER FOR ALCOHOL AND DRUG TREATMENT
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 10/20/2014
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Provider Practice Location Address
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Address Line | 327 OKANOGAN AVE
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City | WENATCHEE
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State | WA
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Zip | 98801-2970
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Country | US
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Telephone | 509-662-9673
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Fax | 509-662-9441
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Provider Business Mailing Address
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Address Line | 327 OKANOGAN AVE
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City | WENATCHEE
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State | WA
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Zip | 98801-2970
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Country | US
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Telephone | 509-662-9673
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Fax | 509-662-9441
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Authorized Official
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Title or Position | ACCOUNTS RECEIVABLE
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Name | MS. JANICE K SANFORD
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Credential |
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Telephone | 509-662-9673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | RTF1005
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License Number State | WA
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