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General NPI Number Information
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NPI Number | 1427203959
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Entity Type | Organization
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Legal Business Name | DISABILITY RESOURCE CENTER
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Dates
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Enumeration Date | 11/25/2008
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Last Update Date | 11/25/2008
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Provider Practice Location Address
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Address Line | 900 E HILL AVE STE 120
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City | KNOXVILLE
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State | TN
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Zip | 37915-2567
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Country | US
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Telephone | 865-637-3666
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Fax | 865-637-5616
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Provider Business Mailing Address
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Address Line | 900 E HILL AVE STE 120
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City | KNOXVILLE
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State | TN
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Zip | 37915-2567
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Country | US
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Telephone | 865-637-3666
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Fax | 865-637-5616
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. LILLIAN BURCH
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Credential | MS
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Telephone | 865-637-3666
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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 | I3200189153
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | I3200189153
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License Number State | TN
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