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NPI 1629322797

NPI 1629322797 : WHITE DEER RUN, LLC : BETHLEHEM, PA

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General NPI Number Information
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    NPI Number           |    1629322797
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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     |    10/29/2012
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    Last Update Date     |    02/05/2026
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Provider Practice Location Address
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    Address Line         |    1620 RIVERSIDE DR 
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    City                 |    BETHLEHEM
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    State                |    PA
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    Zip                  |    18015-1215
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    Country              |    US
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    Telephone            |    570-649-2200
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    Fax                  |    610-814-7766
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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        |    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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