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General NPI Number Information
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NPI Number | 1780025148
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Entity Type | Organization
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Legal Business Name | HAVEN BEHAVIORAL SERVICES OF FRISCO, LLC
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Dates
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Enumeration Date | 07/15/2013
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Last Update Date | 01/24/2023
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Provider Practice Location Address
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Address Line | 5680 FRISCO SQUARE BLVD SUITE 3000
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City | FRISCO
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State | TX
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Zip | 75034-3300
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Country | US
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Telephone | 469-535-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 3102 W END AVE SUITE 1000
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City | NASHVILLE
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State | TN
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Zip | 37203-1301
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Country | US
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Telephone | 615-393-8800
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Fax |
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Authorized Official
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Title or Position | VP/TREASURER
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Name | JANIE R PICKLE
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Credential |
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Telephone | 615-393-8809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number |
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License Number State |
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