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General NPI Number Information
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NPI Number | 1053202952
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Entity Type | Organization
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Legal Business Name | TENNESSEE BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 1405 SE BROAD ST
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City | MURFREESBORO
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State | TN
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Zip | 37130-5616
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Country | US
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Telephone | 949-506-6162
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Fax |
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Provider Business Mailing Address
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Address Line | 2915 RED HILL AVE STE A210C
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City | COSTA MESA
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State | CA
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Zip | 92626-7979
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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 | AUTHORIZED OFFICIAL
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Name | EMILY HINSON
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Credential |
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Telephone | 949-506-6162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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