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General NPI Number Information
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NPI Number | 1437047115
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Entity Type | Organization
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Legal Business Name | LAUDERDALE BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 326 ASBURY AVE
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City | RIPLEY
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State | TN
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Zip | 38063-5577
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Country | US
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Telephone | 918-527-1234
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Fax |
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Provider Business Mailing Address
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Address Line | 1251 NW BRIARCLIFF PKWY STE 215
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City | KANSAS CITY
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State | MO
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Zip | 64116-1896
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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 | COO
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Name | DARREL MORRIS
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Credential |
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Telephone | 918-527-1234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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