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General NPI Number Information
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NPI Number | 1164081683
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Entity Type | Organization
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Legal Business Name | NASHVILLE THERAPY GROUP, INC.
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Dates
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Enumeration Date | 06/08/2019
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Last Update Date | 01/22/2022
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Provider Practice Location Address
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Address Line | 2021 21ST AVE S STE 410
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City | NASHVILLE
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State | TN
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Zip | 37212-4350
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Country | US
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Telephone | 615-492-6700
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Fax | 615-492-6710
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Provider Business Mailing Address
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Address Line | 920 WALDKIRCH AVE
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City | NASHVILLE
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State | TN
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Zip | 37204-2427
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Country | US
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Telephone | 615-965-5150
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID MONTGOMERY HARB
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Credential | LMFT
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Telephone | 615-965-5150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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