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General NPI Number Information
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NPI Number | 1144207804
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Entity Type | Organization
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Legal Business Name | BRYNN MARR HOSPITAL, INC
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Dates
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Enumeration Date | 12/23/2005
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Last Update Date | 01/31/2024
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Provider Practice Location Address
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Address Line | 192 VILLAGE DR
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City | JACKSONVILLE
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State | NC
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Zip | 28546
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Country | US
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Telephone | 910-577-1400
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Fax | 910-577-2766
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Provider Business Mailing Address
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Address Line | 192 VILLAGE DR
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City | JACKSONVILLE
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State | NC
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Zip | 28546
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Country | US
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Telephone | 910-577-1400
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Fax | 910-577-2766
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | STEVE FILTON
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Credential |
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Telephone | 610-768-3482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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