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General NPI Number Information
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NPI Number | 1003529793
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Entity Type | Organization
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Legal Business Name | NASHVILLE THERAPT FOR WOMEN
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Dates
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Enumeration Date | 12/28/2022
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Last Update Date | 12/28/2022
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Provider Practice Location Address
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Address Line | 169 BELLE FOREST CIR STE A
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City | NASHVILLE
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State | TN
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Zip | 37221-2176
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Country | US
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Telephone | 615-516-2323
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Fax |
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Provider Business Mailing Address
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Address Line | 169 BELLE FOREST CIR STE A
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City | NASHVILLE
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State | TN
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Zip | 37221-2176
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Country | US
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Telephone | 615-516-2323
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | LESLIE ALEXANDER
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Credential |
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Telephone | 615-337-6191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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