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General NPI Number Information
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NPI Number | 1093526592
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Entity Type | Organization
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Legal Business Name | STEADFAST HEALTH, INC.
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 5605 MORROW RD UNIT B
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City | NASHVILLE
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State | TN
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Zip | 37209-1932
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Country | US
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Telephone | 479-422-1581
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Fax |
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Provider Business Mailing Address
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Address Line | 500 ADAMS AVE
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City | GLENCOE
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State | IL
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Zip | 60022-1865
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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 | VICE PRESIDENT OF OPERATIONS
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Name | GRANT ERIC MCKINLEY JR.
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Credential |
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Telephone | 801-430-8534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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