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General NPI Number Information
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NPI Number | 1104137553
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Entity Type | Organization
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Legal Business Name | ALZHEIMER'S TENNESSEE INC.
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Dates
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Enumeration Date | 06/30/2010
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Last Update Date | 12/31/2014
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Provider Practice Location Address
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Address Line | 5801 KINGSTON PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37919-6340
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Country | US
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Telephone | 865-544-6288
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Fax | 865-544-6249
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Provider Business Mailing Address
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Address Line | 5801 KINGSTON PIKE
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City | KNOXVILLE
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State | TN
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Zip | 37919-6340
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Country | US
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Telephone | 865-544-6288
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Fax | 865-544-6249
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Authorized Official
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Title or Position | DIRECTOR OF PROGRAMS
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Name | LINDA JOHNSON
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Credential |
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Telephone | 865-544-6288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 4723744A
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License Number State | TN
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