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General NPI Number Information
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NPI Number | 1194153510
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Entity Type | Organization
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Legal Business Name | A.I.R.
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Dates
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Enumeration Date | 10/22/2013
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Last Update Date | 10/23/2013
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Provider Practice Location Address
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Address Line | 1860 WILMA RUDOLPH BLVD
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City | CLARKSVILLE
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State | TN
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Zip | 37040-6718
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Country | US
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Telephone | 954-444-7810
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Fax | 931-230-7505
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Provider Business Mailing Address
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Address Line | 1860 WILMA RUDOLPH BLVD
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City | CLARKSVILLE
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State | TN
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Zip | 37040-6718
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Country | US
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Telephone | 954-444-7810
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Fax | 931-230-7505
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Authorized Official
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Title or Position | CEO
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Name | VICKI BELL
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Credential |
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Telephone | 954-444-7810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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