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General NPI Number Information
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NPI Number | 1912376062
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Entity Type | Organization
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Legal Business Name | ADDICTS REHABILITATION CENTER FUND INC.
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Dates
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Enumeration Date | 09/18/2015
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Last Update Date | 09/18/2015
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Provider Practice Location Address
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Address Line | 1881 PARK AVENUE
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City | NEW YORK
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State | NY
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Zip | 10035
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Country | US
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Telephone | 212-427-1342
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Fax |
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Provider Business Mailing Address
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Address Line | 2015 MADISON AVE
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City | NEW YORK
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State | NY
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Zip | 10035-1015
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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 | PRESIDENT/CEO
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Name | REGINALD WILLIAMS
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Credential |
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Telephone | 212-427-1342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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