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General NPI Number Information
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NPI Number | 1023381456
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Entity Type | Organization
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Legal Business Name | ARCHER CARE HOMES, LLC
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Dates
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Enumeration Date | 02/15/2012
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Last Update Date | 02/15/2012
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Provider Practice Location Address
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Address Line | 106 CLEARVIEW DR
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City | LEBANON
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State | TN
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Zip | 37087-3202
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Country | US
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Telephone | 615-305-1117
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Fax |
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Provider Business Mailing Address
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Address Line | 9230 COLES FERRY PIKE
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City | LEBANON
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State | TN
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Zip | 37087-9417
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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 | MEMBER
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Name | MRS. SHARON ARCHER
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Credential |
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Telephone | 615-305-1117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | I000000010141
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License Number State | TN
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