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General NPI Number Information
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NPI Number | 1972983195
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Entity Type | Organization
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Legal Business Name | TRI CENTER, INC.
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Dates
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Enumeration Date | 06/03/2015
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Last Update Date | 06/03/2015
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Provider Practice Location Address
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Address Line | 175 REMSEN ST SUITE 625
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City | BROOKLYN
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State | NY
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Zip | 11201-4333
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Country | US
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Telephone | 718-858-4050
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Fax |
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Provider Business Mailing Address
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Address Line | 1369 BROADWAY
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City | NEW YORK
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State | NY
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Zip | 10018-7200
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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 | CEO
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Name | JOSE GONZALEZ
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Credential |
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Telephone | 212-268-8830
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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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