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General NPI Number Information
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NPI Number | 1902429087
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Entity Type | Organization
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Legal Business Name | RITE OF PASSAGE ADOLESCENT TREATMENT CENTERS AND SCHOOLS INC.
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Dates
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Enumeration Date | 05/22/2020
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Last Update Date | 05/22/2020
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Provider Practice Location Address
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Address Line | 2560 BUSINESS PKWY STE B
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City | MINDEN
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State | NV
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Zip | 89423-8961
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Country | US
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Telephone | 775-392-2657
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Fax |
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Provider Business Mailing Address
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Address Line | 2560 BUSINESS PKWY STE B
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City | MINDEN
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State | NV
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Zip | 89423-8961
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Country | US
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Telephone | 775-392-2657
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Fax |
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Authorized Official
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Title or Position | MANAGING BUSINESS DIRECTOR
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Name | RUSTY E. ALEXANDER
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Credential |
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Telephone | 775-392-2639
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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