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General NPI Number Information
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NPI Number | 1396881108
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Entity Type | Organization
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Legal Business Name | BREAKTHROUGH CORPORATION
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 05/13/2016
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Provider Practice Location Address
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Address Line | 900 EAST HILL AVE, SUITE 145
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City | KNOXVILLE
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State | TN
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Zip | 37915
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Country | US
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Telephone | 865-247-0065
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Fax | 865-247-0066
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Provider Business Mailing Address
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Address Line | 900 EAST HILL AVE, SUITE 145
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City | KNOXVILLE
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State | TN
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Zip | 37915
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Country | US
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Telephone | 865-247-0065
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Fax | 865-247-0066
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. ELIZABETH A RITCHIE
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Credential |
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Telephone | 865-247-0065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | L3(32)4M30171727
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | L3(32)4M30171727
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License Number State | TN
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