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NPI 1992604292

NPI 1992604292 : SBH-DAVENPORT, LLC : BETTENDORF, IA

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General NPI Number Information
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    NPI Number           |    1992604292
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    Entity Type          |    Organization 
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    Legal Business Name  |    SBH-DAVENPORT, LLC 
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Dates
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    Enumeration Date     |    11/03/2026
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    Last Update Date     |    11/03/2026
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Provider Practice Location Address
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    Address Line         |    1401 KIMBERLY RD 
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    City                 |    BETTENDORF
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    State                |    IA
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    Zip                  |    52722-4131
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    Country              |    US
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    Telephone            |    615-637-7218
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    501 CORPORATE CENTRE DR STE 600 
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    City                 |    FRANKLIN
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    State                |    TN
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    Zip                  |    37067-2784
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    Country              |    US
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    Telephone            |    615-637-7218
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    Fax                  |    
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Authorized Official
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    Title or Position    |    GENERAL COUNSEL & SECRETARY
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    Name                 |     JAMES STEPHEN HINKLE 
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    Credential           |    
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    Telephone            |    615-637-7218
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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 |    
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Taxonomy #2
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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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