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General NPI Number Information
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NPI Number | 1851421598
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Entity Type | Organization
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Legal Business Name | ERIE COUNTY OFFICE OF DRUG AND ALCOHOL ABUSE
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 04/12/2011
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Provider Practice Location Address
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Address Line | 155 W 8TH ST SUITE 401
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City | ERIE
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State | PA
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Zip | 16501-1012
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Country | US
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Telephone | 814-451-6877
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Fax | 814-451-6875
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Provider Business Mailing Address
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Address Line | 155 W 8TH ST SUITE 401
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City | ERIE
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State | PA
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Zip | 16501-1012
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Country | US
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Telephone | 814-451-6890
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Fax | 814-451-6899
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JOHN DIMATTIO
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Credential | MS
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Telephone | 814-451-6890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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