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General NPI Number Information
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NPI Number | 1619061496
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Entity Type | Organization
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Legal Business Name | HALCYON, L.L.C.
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 01/03/2017
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Provider Practice Location Address
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Address Line | 523B STONEY MOUNTAIN RD
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City | HENDERSONVILLE
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State | NC
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Zip | 28791-1546
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Country | US
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Telephone | 828-697-5131
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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 | 828-697-5131
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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 KYLE MORGAN
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Credential |
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Telephone | 828-697-5131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment 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 | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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