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General NPI Number Information
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NPI Number | 1063796431
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Entity Type | Organization
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Legal Business Name | THE LINK CENTER, INC.
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Dates
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Enumeration Date | 10/04/2011
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Last Update Date | 10/04/2011
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Provider Practice Location Address
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Address Line | 6978 LEBANON RD STE F
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City | MOUNT JULIET
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State | TN
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Zip | 37122-7201
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Country | US
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Telephone | 615-601-6078
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Fax | 615-453-5318
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Provider Business Mailing Address
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Address Line | 6978 LEBANON RD STE F
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City | MOUNT JULIET
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State | TN
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Zip | 37122-7201
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Country | US
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Telephone | 615-601-6078
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Fax | 615-453-5318
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. JASON THOMAS LINK
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Credential | LPC
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Telephone | 615-601-6087
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number | 1000000008823
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 1000000008823
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License Number State | TN
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