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General NPI Number Information
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NPI Number | 1104212794
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Entity Type | Organization
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Legal Business Name | AAC DALLAS OUTPATIENT CENTER, LLC
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Dates
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Enumeration Date | 04/09/2015
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 2301 AVENUE J
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City | ARLINGTON
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State | TX
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Zip | 76006
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Country | US
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Telephone | 817-649-3850
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Fax | 615-457-8094
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Provider Business Mailing Address
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Address Line | 500 WILSON PIKE CIR STE 360
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City | BRENTWOOD
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State | TN
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Zip | 37027-3266
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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 | FACILITY EXECUTIVE DIRECTOR
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Name | JONATHAN E SPRECHER
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Credential | RN
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Telephone | 817-640-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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 | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 3826-3827
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License Number State | NV
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