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NPI 1609910702

NPI 1609910702 : HALCYON LLC : HENDERSONVILLE, NC

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General NPI Number Information
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    NPI Number           |    1609910702
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    Entity Type          |    Organization 
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    Legal Business Name  |    HALCYON LLC 
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Dates
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    Enumeration Date     |    02/20/2007
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    Last Update Date     |    08/12/2008
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Provider Practice Location Address
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    Address Line         |    1014 GREENVILLE HWY 
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    City                 |    HENDERSONVILLE
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    State                |    NC
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    Zip                  |    28792-5854
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    Country              |    US
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    Telephone            |    828-694-0650
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1082 
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    City                 |    HENDERSONVILLE
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    State                |    NC
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    Zip                  |    28793-1082
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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    |    CEO
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    Name                 |     STEPHANIE  MORGAN 
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    Credential           |    
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    Telephone            |    828-694-0950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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