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General NPI Number Information
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NPI Number | 1861950909
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Entity Type | Organization
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Legal Business Name | ADVANCED TREATMENT CENTERS LLC
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Dates
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Enumeration Date | 03/07/2019
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Last Update Date | 03/07/2019
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Provider Practice Location Address
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Address Line | 60 ABELE RD STE 1103
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-3467
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Country | US
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Telephone | 412-838-7127
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Fax |
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Provider Business Mailing Address
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Address Line | 60 ABELE RD STE 1103
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City | BRIDGEVILLE
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State | PA
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Zip | 15017-3467
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Country | US
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Telephone | 412-838-7127
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Fax |
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | JEFFREY LUKAS
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Credential |
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Telephone | 412-735-9398
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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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