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General NPI Number Information
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NPI Number | 1710412960
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Entity Type | Organization
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Legal Business Name | APPLEGATE HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 04/25/2017
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 1605 BENTON RD., SUITE D
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City | BOSSIER CITY
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State | LA
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Zip | 71111-3579
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Country | US
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Telephone | 318-742-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 1720 LAKEPOINTE DRIVE, SUITE 117
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City | LEWISVILLE
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State | TX
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Zip | 75057-6425
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Country | US
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Telephone | 214-379-3300
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Fax | 214-379-3324
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Authorized Official
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Title or Position | VP, TREASURER
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Name | BRUCE JARVIE
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Credential |
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Telephone | 214-379-3300
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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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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 00000
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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