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General NPI Number Information
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NPI Number | 1902621949
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Entity Type | Organization
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Legal Business Name | HICKORY LONGVIEW LLC
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Dates
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Enumeration Date | 11/15/2024
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 22 BERMUDA LN
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City | LONGVIEW
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State | TX
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Zip | 75605-2902
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Country | US
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Telephone | 317-947-0233
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Fax |
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Provider Business Mailing Address
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Address Line | 3960 SOUTHEASTERN AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46203-1500
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Country | US
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Telephone | 317-947-0233
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MOSHE ORLINSKY
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Credential |
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Telephone | 317-341-5141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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