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General NPI Number Information
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NPI Number | 1952284085
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Entity Type | Organization
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Legal Business Name | RITE OF PASSAGE, INC
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Dates
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Enumeration Date | 07/28/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 1300 CROSSLAND RD
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City | GRANBURY
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State | TX
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Zip | 76048-5208
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Country | US
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Telephone | 817-573-0852
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Fax |
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Provider Business Mailing Address
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Address Line | 2560 BUSINESS PKWY STE A
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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 |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | MARANDA FIGULI
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Credential |
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Telephone | 480-987-2080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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