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NPI 1689521494

NPI 1689521494 : DEAN'S HOUSE : ELIZABETHTOWN, KY

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General NPI Number Information
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    NPI Number           |    1689521494
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    Entity Type          |    Organization 
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    Legal Business Name  |    DEAN'S HOUSE 
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Dates
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    Enumeration Date     |    03/11/2026
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    Last Update Date     |    03/11/2026
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Provider Practice Location Address
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    Address Line         |    104 STONEY BROOK DR 
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    City                 |    ELIZABETHTOWN
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    State                |    KY
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    Zip                  |    42701-4321
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    Country              |    US
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    Telephone            |    270-872-7511
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    Fax                  |    270-477-0008
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Provider Business Mailing Address
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    Address Line         |    1811 N DIXIE AVE STE 104 
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    City                 |    ELIZABETHTOWN
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    State                |    KY
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    Zip                  |    42701-5564
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    Country              |    US
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    Telephone            |    270-872-7511
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    Fax                  |    270-477-0008
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Authorized Official
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    Title or Position    |    DIRECTOR/CASE MANAGER
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    Name                 |     STEPHANIE  EARLS 
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    Credential           |    
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    Telephone            |    270-872-7511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174200000X
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    Taxonomy Name        |    Meals Provider
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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        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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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Taxonomy #4
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    Taxonomy Code        |    343900000X
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    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
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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        |    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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