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General NPI Number Information
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NPI Number | 1396326575
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Entity Type | Organization
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Legal Business Name | BLIND-VISUALLY IMPAIRED EARLY SERVICES OF TN
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Dates
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Enumeration Date | 04/19/2021
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 104 EASTPARK DR STE 100
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City | BRENTWOOD
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State | TN
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Zip | 37027-7535
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Country | US
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Telephone | 615-200-8006
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Fax |
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Provider Business Mailing Address
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Address Line | 104 EAST PARK DR. #100
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City | BRENTWOOD
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State | TN
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Zip | 37027-7535
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Country | US
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Telephone | 615-200-8006
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ALISON CLOUGHERTY
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Credential |
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Telephone | 703-472-0034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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