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General NPI Number Information
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NPI Number | 1063040871
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Entity Type | Organization
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Legal Business Name | NATIONAL TREATMENT PREVENTION AND EDUCATION CENTER
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Dates
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Enumeration Date | 03/28/2020
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Last Update Date | 08/31/2022
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Provider Practice Location Address
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Address Line | 8650 PARK LAUREATE DR APT 216
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City | LOUISVILLE
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State | KY
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Zip | 40220-7036
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Country | US
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Telephone | 859-583-5750
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Fax | 844-596-7495
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Provider Business Mailing Address
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Address Line | 6452 ALUM SPRINGS RD
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City | DANVILLE
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State | KY
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Zip | 40422-9054
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Country | US
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Telephone | 859-553-9030
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Fax | 844-596-7495
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Authorized Official
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Title or Position | OWNER
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Name | MISS ANNA MARIE BUNCH
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Credential | LPCC, LCADC
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Telephone | 859-583-5750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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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 #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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