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General NPI Number Information
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NPI Number | 1154188639
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Entity Type | Individual
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Provider Name | CHRISTOPHER GREGORY O'REILLY MA
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Gender | Male
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Dates
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Enumeration Date | 03/01/2024
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Last Update Date | 03/01/2024
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Provider Practice Location Address
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Address Line | 1610 54TH AVE N
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City | NASHVILLE
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State | TN
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Zip | 37209-1401
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Country | US
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Telephone | 615-789-6609
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Fax |
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Provider Business Mailing Address
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Address Line | 105 CLARENDON CIR
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City | FRANKLIN
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State | TN
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Zip | 37069-1837
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Country | US
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Telephone | 484-818-0856
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC0000006041
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License Number State | TN
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