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General NPI Number Information
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NPI Number | 1083683718
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Entity Type | Organization
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Legal Business Name | COMMUNITY TIES OF AMERICA, INC.
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Dates
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Enumeration Date | 03/15/2006
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Last Update Date | 08/27/2010
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Provider Practice Location Address
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Address Line | 214 OVERLOOK CIRCLE, SUITE 105
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City | BRENTWOOD
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State | TN
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Zip | 37027
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Country | US
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Telephone | 615-661-4544
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Fax | 615-661-4505
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Provider Business Mailing Address
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Address Line | 214 OVERLOOK CIRCLE, SUITE 105
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City | BRENTWOOD
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State | TN
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Zip | 37027
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Country | US
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Telephone | 615-661-4544
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Fax | 615-661-4505
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | ERIC W. BROWN
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Credential |
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Telephone | 615-661-4544
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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