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General NPI Number Information
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NPI Number | 1386972719
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Entity Type | Organization
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Legal Business Name | HAZELDEN BETTY FORD FOUNDATION
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Dates
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Enumeration Date | 11/23/2009
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 950 6TH AVE N
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City | NAPLES
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State | FL
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Zip | 34102-5633
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Country | US
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Telephone | 800-257-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 15251 PLEASANT VALLEY RD
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City | CENTER CITY
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State | MN
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Zip | 55012-9640
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Country | US
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Telephone | 800-257-7800
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MARC BAER
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Credential |
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Telephone | 800-257-7800
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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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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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