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General NPI Number Information
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NPI Number | 1124039961
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Entity Type | Organization
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Legal Business Name | ABS LINCS TN INC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 7351 STANDIFER GAP RD
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City | CHATTANOOGA
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State | TN
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Zip | 37421-8404
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Country | US
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Telephone | 423-499-9007
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Fax | 423-499-9757
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Provider Business Mailing Address
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Address Line | 7351 COURAGE WAY
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City | CHATTANOOGA
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State | TN
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Zip | 37421-8404
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Country | US
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Telephone | 423-499-9007
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Fax | 423-499-9757
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICE
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Name | MS. EUREKA C. DAYE
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Credential | BA, MA, MS
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Telephone | 423-499-9007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number | L 2(16)M2-115-1103
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License Number State | TN
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