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General NPI Number Information
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NPI Number | 1972958544
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Entity Type | Organization
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Legal Business Name | RITTENHOUSE HEALTH LLC
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 05/02/2016
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Provider Practice Location Address
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Address Line | 2321 N. BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19132
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Country | US
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Telephone | 570-982-1126
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Fax |
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Provider Business Mailing Address
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Address Line | 2321 N. BROAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19132
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Country | US
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Telephone | 570-982-1126
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Fax |
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Authorized Official
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Title or Position | PROJECT DIRECTOR
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Name | LAWRENCE S RINISH
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Credential | M.BA., CADC, CCDP
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Telephone | 570-982-1126
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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 | PA
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