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General NPI Number Information
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NPI Number | 1750100368
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Entity Type | Organization
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Legal Business Name | FWBH, LLC
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 3955 W WASHINGTON CENTER RD
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City | FORT WAYNE
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State | IN
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Zip | 46818-1526
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Country | US
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Telephone | 317-912-3699
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Fax |
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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 AND SECRETARY
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Name | BRIAN PHILLIP 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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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