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General NPI Number Information
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NPI Number | 1851600019
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Entity Type | Organization
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Legal Business Name | ADDICTION RESEARCH AND TREATMENT CORPORATION
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Dates
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Enumeration Date | 10/05/2010
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Last Update Date | 03/24/2011
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Provider Practice Location Address
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Address Line | 937 FULTON ST
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City | BROOKLYN
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State | NY
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Zip | 11238-2347
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Country | US
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Telephone | 718-789-2993
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Fax |
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Provider Business Mailing Address
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Address Line | 22 CHAPEL ST
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City | BROOKLYN
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State | NY
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Zip | 11201-1903
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. BENY PRIMM
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Credential | MD
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Telephone | 718-260-2950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 012707
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License Number State | NY
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