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General NPI Number Information
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NPI Number | 1467750034
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Entity Type | Organization
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Legal Business Name | PHC-ELKO INC
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Dates
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Enumeration Date | 03/07/2011
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Last Update Date | 04/26/2022
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Provider Practice Location Address
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Address Line | 2001 ERRECART BLVD
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City | ELKO
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State | NV
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Zip | 89801-8333
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Country | US
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Telephone | 775-738-5151
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Fax | 775-748-2002
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Provider Business Mailing Address
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Address Line | 330 SEVEN SPRINGS WAY STE 200
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City | BRENTWOOD
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State | TN
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Zip | 37027-5098
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Country | US
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Telephone | 615-920-7000
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Fax | 615-920-8913
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Authorized Official
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Title or Position | ASSISTANT SECRETARY
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Name | TERRANCE DILLON
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Credential |
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Telephone | 502-596-7220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number |
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License Number State |
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