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General NPI Number Information
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NPI Number | 1821806845
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Entity Type | Organization
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Legal Business Name | POINNT BALANCE THE CENTER
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Dates
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Enumeration Date | 12/23/2024
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 1120 S 5TH AVE
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City | SCRANTON
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State | PA
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Zip | 18504-3102
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Country | US
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Telephone | 570-878-8213
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Fax |
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Provider Business Mailing Address
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Address Line | 431 WYOMING AVE REAR
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City | SCRANTON
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State | PA
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Zip | 18503-1228
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Country | US
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Telephone | 570-880-7614
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | EMILIE GILGALLON
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Credential |
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Telephone | 570-290-2690
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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 |
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License Number State |
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