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General NPI Number Information
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NPI Number | 1912806548
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Entity Type | Organization
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Legal Business Name | PATHFINDER HEALTH SYSTEMS
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 1500 CHESTNUT ST SUITE 2 #1216
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City | PHILADELPHIA
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State | PA
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Zip | 19102
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Country | US
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Telephone | 646-319-4150
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Fax |
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Provider Business Mailing Address
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Address Line | 249 HARTLAND RD
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City | WEST GRANBY
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State | CT
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Zip | 06090-1012
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Country | US
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Telephone | 646-319-4150
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MICHAEL BRUNK
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Credential |
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Telephone | 646-319-4150
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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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