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General NPI Number Information
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NPI Number | 1346517463
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Entity Type | Organization
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Legal Business Name | EXCEPTIONAL ENTERPRISES, INC.
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Dates
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Enumeration Date | 11/17/2011
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Last Update Date | 11/17/2011
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Provider Practice Location Address
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Address Line | 23 N INDUSTRIAL PARK RD
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City | COALMONT
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State | TN
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Zip | 37313-2501
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Country | US
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Telephone | 931-692-2235
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Fax | 931-692-2244
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Provider Business Mailing Address
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Address Line | 23 N INDUSTRIAL PARK RD
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City | COALMONT
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State | TN
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Zip | 37313-2501
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Country | US
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Telephone | 931-692-2235
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Fax | 931-692-2244
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. WILLIAM R. LINGLE
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Credential |
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Telephone | 931-692-2235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | L08065
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | L08065
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License Number State | TN
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