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General NPI Number Information
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NPI Number | 1801751599
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Entity Type | Organization
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Legal Business Name | PATHFINDER RECOVERY NH LLC
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 1087 ELM ST STE 309
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City | MANCHESTER
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State | NH
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Zip | 03101-1849
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Country | US
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Telephone | 646-319-4150
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Fax |
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Provider Business Mailing Address
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Address Line | 249 HARTLAND RD
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City | WEST GRANBY
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State | CT
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Zip | 06090-1012
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Country | US
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Telephone | 646-319-4150
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MICHAEL T BRUNK
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Credential |
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Telephone | 646-319-4150
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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 |
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License Number State |
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