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General NPI Number Information
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NPI Number | 1023362076
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Entity Type | Organization
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Legal Business Name | EDUCARE, LLC
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Dates
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Enumeration Date | 10/30/2012
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Last Update Date | 10/30/2012
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Provider Practice Location Address
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Address Line | 121 21ST AVE N
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City | NASHVILLE
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State | TN
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Zip | 37203-5213
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Country | US
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Telephone | 615-599-9917
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 277
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City | FRANKLIN
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State | TN
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Zip | 37065-0277
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | ANTHONY P OWENS
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Credential | LCSW, LADAC
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Telephone | 615-599-9917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1000000011714
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License Number State | TN
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