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General NPI Number Information
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NPI Number | 1356063820
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Entity Type | Organization
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Legal Business Name | THE RESTING PLACE, LLC
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Dates
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Enumeration Date | 09/13/2022
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Last Update Date | 09/13/2022
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Provider Practice Location Address
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Address Line | 523 MORRELL RD APT D60
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City | KNOXVILLE
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State | TN
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Zip | 37919-5870
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Country | US
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Telephone | 336-391-9755
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 276
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City | RUSSELLVILLE
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State | TN
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Zip | 37860-0276
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Country | US
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Telephone | 423-839-1437
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Fax | 423-839-1456
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | MORGAN JARNIGAN
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Credential |
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Telephone | 423-839-1437
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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 |
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License Number State |
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