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General NPI Number Information
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NPI Number | 1033526819
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Entity Type | Organization
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Legal Business Name | NEW BRIGHT CARE HOMES
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Dates
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Enumeration Date | 07/14/2014
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Last Update Date | 07/14/2014
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Provider Practice Location Address
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Address Line | 704 REEVES RD
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City | ANTIOCH
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State | TN
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Zip | 37013-3328
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Country | US
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Telephone | 615-953-6863
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Fax |
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Provider Business Mailing Address
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Address Line | 701 CLEARWATER CT
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City | NASHVILLE
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State | TN
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Zip | 37217-4034
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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
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Name | KIANAH VANLIER
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Credential |
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Telephone | 615-600-8036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number | I000000013721
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License Number State | TN
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