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NPI 1881450229

NPI 1881450229 : CLEAR CHOICES, LLC : ROCHESTER, PA

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General NPI Number Information
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    NPI Number           |    1881450229
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    Entity Type          |    Organization 
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    Legal Business Name  |    CLEAR CHOICES, LLC 
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Dates
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    Enumeration Date     |    02/23/2024
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    Last Update Date     |    10/07/2024
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Provider Practice Location Address
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    Address Line         |    373 CLEVELAND ST 
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    City                 |    ROCHESTER
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    State                |    PA
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    Zip                  |    15074-1623
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    Country              |    US
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    Telephone            |    724-775-7905
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    Fax                  |    724-775-7907
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Provider Business Mailing Address
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    Address Line         |    316 STATION ST STE 100 
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    City                 |    BRIDGEVILLE
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    State                |    PA
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    Zip                  |    15017-1833
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    Country              |    US
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    Telephone            |    724-775-7905
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MEMBER
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    Name                 |     LOUIS HUNTER FARMER 
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    Credential           |    
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    Telephone            |    724-775-7905
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM1300X
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    Taxonomy Name        |    Multi-Specialty Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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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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