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General NPI Number Information
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NPI Number | 1386642296
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Entity Type | Organization
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Legal Business Name | DISCOVERY HOUSE, LLC
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 2755 PHILMONT AVE STE 115
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City | HUNTINGDON VALLEY
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State | PA
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Zip | 19006-5368
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Country | US
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Telephone | 215-947-4100
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Fax | 215-947-0192
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Provider Business Mailing Address
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Address Line | 6183 PASEO DEL NORTE STE 200
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City | CARLSBAD
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State | CA
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Zip | 92011-1151
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Country | US
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Telephone | 615-861-6000
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Fax |
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Authorized Official
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Title or Position | VP & SECRETARY
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Name | BRIAN PHILLIP FARLEY
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Credential |
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Telephone | 615-716-9335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 09707
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License Number State | PA
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Taxonomy #2
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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 | 097070
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number | 09070
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License Number State | PA
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