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NPI 1255128229

NPI 1255128229 : PASADENA VILLA ALABAMA LLC : HUNTSVILLE, AL

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General NPI Number Information
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    NPI Number           |    1255128229
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    Entity Type          |    Organization 
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    Legal Business Name  |    PASADENA VILLA ALABAMA LLC 
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Dates
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    Enumeration Date     |    04/23/2025
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    Last Update Date     |    06/10/2026
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Provider Practice Location Address
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    Address Line         |    7800 MADISON BLVD STE 150 
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    City                 |    HUNTSVILLE
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    State                |    AL
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    Zip                  |    35806-2049
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    Country              |    US
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    Telephone            |    615-864-8145
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    720 COOL SPRINGS BLVD STE 550 
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    City                 |    FRANKLIN
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    State                |    TN
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    Zip                  |    37067-2645
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    Country              |    US
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    Telephone            |    615-864-8145
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CFO
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    Name                 |     SCOTT  SARNACKE 
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    Credential           |    
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    Telephone            |    615-442-7689
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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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