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General NPI Number Information
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NPI Number | 1457793929
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Entity Type | Organization
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Legal Business Name | ACADIA HELATH LLC
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Dates
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Enumeration Date | 07/24/2013
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Last Update Date | 07/24/2013
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Provider Practice Location Address
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Address Line | 1000 RIDGEWAY LOOP RD SUITE 203
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City | MEMPHIS
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State | TN
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Zip | 38120-4045
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Country | US
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Telephone | 901-684-1082
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Fax | 901-684-1830
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Provider Business Mailing Address
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Address Line | 1000 RIDGEWAY LOOP RD SUITE 203
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City | MEMPHIS
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State | TN
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Zip | 38120-4045
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Country | US
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Telephone | 901-684-1082
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Fax | 901-684-1830
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Authorized Official
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Title or Position | VP OF OPERATIONS
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Name | MRS. KAY S. OPLINGER
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Credential |
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Telephone | 912-223-7228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | LA
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