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General NPI Number Information
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NPI Number | 1659570299
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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 | 07/13/2007
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Last Update Date | 06/28/2025
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Provider Practice Location Address
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Address Line | 106 DAVIES DR
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City | YORK
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State | PA
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Zip | 17402
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Country | US
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Telephone | 800-255-2335
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Fax |
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Provider Business Mailing Address
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Address Line | 6100 TOWER CIR STE 1000
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City | FRANKLIN
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State | TN
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Zip | 37067-1509
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Country | US
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Telephone | 615-861-7566
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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 | 3736092
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number | 3736092
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 3736092
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License Number State | PA
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Taxonomy #4
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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 #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 3736092
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License Number State | PA
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