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General NPI Number Information
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NPI Number | 1568582559
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Entity Type | Organization
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Legal Business Name | WHITE DEER RUN, LLC
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Dates
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Enumeration Date | 03/31/2007
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 3030 CHESTNUT ST
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City | LEBANON
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State | PA
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Zip | 17042-2518
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Country | US
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Telephone | 717-270-3900
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Fax |
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Provider Business Mailing Address
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Address Line | 4020 ASPEN GROVE DR STE 900
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City | FRANKLIN
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State | TN
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Zip | 37067-3134
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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 | VICE PRESIDENT & SECRETARY
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Name | BRIAN P. FARLEY
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Credential |
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Telephone | 615-861-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 000387017
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 000387017
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License Number State | PA
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Taxonomy #3
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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 | 000387017
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 000387017
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License Number State | PA
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