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General NPI Number Information
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NPI Number | 1205051281
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Entity Type | Organization
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Legal Business Name | PHILHAVEN
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Dates
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Enumeration Date | 04/16/2007
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Last Update Date | 09/30/2020
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Provider Practice Location Address
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Address Line | 283 S BUTLER RD
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City | LEBANON
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State | PA
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Zip | 17042-8939
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Country | US
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Telephone | 800-932-0359
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Fax |
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Provider Business Mailing Address
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Address Line | 785 5TH AVE STE 3
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City | CHAMBERSBURG
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State | PA
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Zip | 17201-4232
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Country | US
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Telephone | 717-263-9555
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Fax | 717-709-6529
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Authorized Official
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Title or Position | CEO
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Name | PHILLIP D HESS
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Credential |
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Telephone | 800-932-0359
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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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