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General NPI Number Information
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NPI Number | 1023813896
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Entity Type | Organization
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Legal Business Name | ADEPT CONSULTING GROUP LLC
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 02/17/2025
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Provider Practice Location Address
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Address Line | 1048 HYDE RD
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City | RIPLEY
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State | TN
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Zip | 38063-8306
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Country | US
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Telephone | 502-381-9053
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Fax |
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Provider Business Mailing Address
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Address Line | 4600 STONELEA PL
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City | LA GRANGE
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State | KY
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Zip | 40031-6706
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Country | US
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Telephone | 502-381-9053
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Fax |
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Authorized Official
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Title or Position | VP
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Name | DR. JEFFERY BEATY
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Credential | PHD
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Telephone | 502-381-9053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) Physician
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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