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General NPI Number Information
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NPI Number | 1447173406
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Entity Type | Individual
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Provider Name | NICKIE L MANIER LADAC II
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Gender | Female
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Dates
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Enumeration Date | 08/04/2026
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Last Update Date | 08/04/2026
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Provider Practice Location Address
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Address Line | 509 NEW HIGHWAY 96 W STE 102
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City | FRANKLIN
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State | TN
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Zip | 37064-2545
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Country | US
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Telephone | 615-914-7057
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Fax |
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Provider Business Mailing Address
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Address Line | 269 BUNKER HILL LN
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City | ROCKVALE
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State | TN
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Zip | 37153-8516
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Country | US
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Telephone | 615-801-7052
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1697
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License Number State | TN
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