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NPI 1992678239

NPI 1992678239 : RITE OF PASSAGE, INC. : COURTLAND, AL

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General NPI Number Information
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    NPI Number           |    1992678239
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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     |    09/24/2025
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    Last Update Date     |    09/29/2025
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Provider Practice Location Address
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    Address Line         |    349 MADISON ST 
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    City                 |    COURTLAND
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    State                |    AL
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    Zip                  |    35618-3168
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    Country              |    US
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    Telephone            |    256-637-9111
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    Fax                  |    256-637-8911
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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        |    322D00000X
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    Taxonomy Name        |    Emotionally Disturbed Childrens' Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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