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General NPI Number Information
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NPI Number | 1437504891
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Entity Type | Organization
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Legal Business Name | JOURNEYPURE AT THE RIVER LLC
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Dates
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Enumeration Date | 05/04/2016
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Last Update Date | 01/14/2021
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Provider Practice Location Address
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Address Line | 5080 FLORENCE RD
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City | MURFREESBORO
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State | TN
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Zip | 37129
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Country | US
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Telephone | 615-390-2865
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Fax |
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Provider Business Mailing Address
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Address Line | 5080 FLORENCE RD
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City | MURFREESBORO
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State | TN
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Zip | 37129
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF CONTRACTING
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Name | KAYLA DECKERT
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Credential |
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Telephone | 615-519-4156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 18671
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 18839
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 18943
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 18146
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License Number State | TN
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