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General NPI Number Information
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NPI Number | 1093514960
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Entity Type | Organization
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Legal Business Name | CLINCH RIVER BEHAVIORAL HEALTH
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Dates
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Enumeration Date | 03/12/2025
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Last Update Date | 03/12/2025
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Provider Practice Location Address
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Address Line | 665 EMORY VALLEY RD STE B
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City | OAK RIDGE
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State | TN
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Zip | 37830-7762
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Country | US
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Telephone | 865-404-3976
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Fax |
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Provider Business Mailing Address
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Address Line | 207 LEXINGTON LN
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City | CLINTON
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State | TN
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Zip | 37716-5782
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Country | US
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Telephone | 865-404-3976
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Fax |
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Authorized Official
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Title or Position | OWNER/PMHNP
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Name | MRS. KIMBERLY LYNN SEEBER
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Credential | PMHNP
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Telephone | 865-404-3976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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