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General NPI Number Information
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NPI Number | 1497020895
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Entity Type | Organization
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Legal Business Name | HELEN FARABEE REGIONAL CENTERS
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Dates
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Enumeration Date | 03/19/2012
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Last Update Date | 03/19/2012
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Provider Practice Location Address
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Address Line | 2500 WILBARGER ST
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City | VERNON
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State | TX
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Zip | 76384-4564
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Country | US
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Telephone | 940-553-4002
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 BROOK AVE
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City | WICHITA FALLS
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State | TX
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Zip | 76301-5007
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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 | MIS DIRECTOR
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Name | RALPH WHAITE
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Credential |
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Telephone | 940-397-3147
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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 | 2464-3510
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License Number State | TX
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