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General NPI Number Information
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NPI Number | 1548890494
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Entity Type | Organization
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Legal Business Name | HARMONY OAKS RECOVERY CENTER, LLC
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Dates
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Enumeration Date | 01/20/2020
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Last Update Date | 01/17/2025
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Provider Practice Location Address
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Address Line | 7609 SHALLOWFORD RD
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City | CHATTANOOGA
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State | TN
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Zip | 37421-2633
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Country | US
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Telephone | 423-708-4961
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 836
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City | WEST PALM BEACH
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State | FL
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Zip | 33402-0836
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Country | US
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Telephone | 423-708-4961
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Fax | 561-515-3284
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Authorized Official
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Title or Position | CEO
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Name | DAVID FARACHE
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Credential |
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Telephone | 423-708-4961
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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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 |
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License Number State |
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