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General NPI Number Information
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NPI Number | 1881511186
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Entity Type | Organization
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Legal Business Name | HALEO CLINIC USA INC
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 2915 OGLETOWN RD # 4199
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City | NEWARK
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State | DE
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Zip | 19713-1927
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Country | US
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Telephone | 438-926-4567
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Fax |
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Provider Business Mailing Address
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Address Line | 2915 OGLETOWN RD # 4199
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City | NEWARK
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State | DE
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Zip | 19713-1927
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Country | US
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Telephone | 438-926-4567
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. BRADLEY CAMERON SMITH
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Credential | OTHER
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Telephone | 438-926-4567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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