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General NPI Number Information
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NPI Number | 1912464462
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Entity Type | Organization
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Legal Business Name | ALLASSO RECOVERY CENTER INC
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Dates
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Enumeration Date | 02/20/2019
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Last Update Date | 01/04/2020
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Provider Practice Location Address
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Address Line | 6235 HAMILTON BLVD STE 105
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City | ALLENTOWN
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State | PA
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Zip | 18106-9698
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Country | US
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Telephone | 484-357-3210
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Fax |
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Provider Business Mailing Address
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Address Line | 6235 HAMILTON BLVD STE 105
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City | ALLENTOWN
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State | PA
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Zip | 18106-9698
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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
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Name | CONNIE UFF
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Credential |
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Telephone | 484-357-3210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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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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