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General NPI Number Information
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NPI Number | 1467933267
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Entity Type | Organization
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Legal Business Name | RESCUE 1 GLOBAL
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Dates
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Enumeration Date | 08/28/2018
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Last Update Date | 08/28/2018
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Provider Practice Location Address
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Address Line | 6688 NOLENSVILLE ROAD SUITE 108/167
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City | BRENTWOOD
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State | TN
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Zip | 37027
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Country | US
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Telephone | 615-348-7273
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Fax |
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Provider Business Mailing Address
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Address Line | 6688 NOLENSVILLE ROAD SUITE 108/167
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City | BRENTWOOD
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State | TN
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Zip | 37027
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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 THERAPY AND PROGRAMMING
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Name | ELIZABETH ANN WALSER
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Credential |
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Telephone | 252-287-9198
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | I000000022237
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License Number State | TN
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