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General NPI Number Information
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NPI Number | 1891098372
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Entity Type | Organization
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Legal Business Name | THE REFUGE, A HEALING PLACE, LLC
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Dates
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Enumeration Date | 12/06/2010
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 14835 SE 85TH ST
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City | OCKLAWAHA
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State | FL
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Zip | 32179-3556
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Country | US
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Telephone | 352-288-3333
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Fax | 352-288-3343
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Provider Business Mailing Address
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Address Line | 6100 TOWER CIR STE 1000
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City | FRANKLIN
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State | TN
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Zip | 37067-1509
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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 | VP & SECRETARY
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Name | BRIAN P. 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 | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | 0542AD349002
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License Number State | FL
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