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General NPI Number Information
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NPI Number | 1437125416
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Entity Type | Organization
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Legal Business Name | OMNI COMMUNITY HEALTH
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Dates
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Enumeration Date | 02/28/2006
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Last Update Date | 09/02/2020
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Provider Practice Location Address
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Address Line | 145 THOMPSON LANE
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City | NASHVILLE
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State | TN
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Zip | 37211-2411
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Country | US
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Telephone | 615-781-0013
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Fax | 615-781-0688
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Provider Business Mailing Address
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Address Line | 301 S. PERIMETER PARK DRIVE SUITE 210
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City | NASHVILLE
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State | TN
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Zip | 37211-4128
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Country | US
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Telephone | 615-726-3603
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Fax | 615-827-0421
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MARK JUST
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Credential |
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Telephone | 615-726-3603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | L 214-026-3229
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | L 214-026-3229
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | L 214-026-3229
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | L 214-026-3229
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | L 214-026-3229
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License Number State | TN
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Taxonomy #6
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | L 214-026-3229
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License Number State | TN
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Taxonomy #7
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | L 214-026-3229
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License Number State | TN
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Taxonomy #8
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | L 214-026-3229
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License Number State | TN
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Taxonomy #9
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | L 214-026-3229
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License Number State | TN
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Taxonomy #10
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | L 214-026-3229
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License Number State | TN
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