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General NPI Number Information
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NPI Number | 1952484438
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Entity Type | Organization
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Legal Business Name | GREENFIELD CENTER INC
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 4250 LAKESIDE DR STE 213
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City | JACKSONVILLE
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State | FL
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Zip | 32210-3369
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Country | US
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Telephone | 904-389-3784
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Fax | 904-389-4618
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Provider Business Mailing Address
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Address Line | 5001 SPRING VALLEY RD STE 600E
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City | DALLAS
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State | TX
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Zip | 75244-8217
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Country | US
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Telephone | 214-365-6100
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Fax | 214-365-6100
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Authorized Official
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Title or Position | CEO
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Name | MRS. JAY HIGHAM
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Credential |
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Telephone | 214-365-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | FL
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