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General NPI Number Information
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NPI Number | 1477161982
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Entity Type | Organization
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Legal Business Name | ADDICTION BEHAVIORAL CARE
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Dates
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Enumeration Date | 07/21/2020
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Last Update Date | 07/21/2020
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Provider Practice Location Address
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Address Line | 2617 GRANDVIEW AVE STE 103
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City | NASHVILLE
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State | TN
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Zip | 37211-2263
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Country | US
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Telephone | 615-942-5433
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Fax | 615-942-8192
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Provider Business Mailing Address
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Address Line | 2617 GRANDVIEW AVE STE 103
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City | NASHVILLE
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State | TN
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Zip | 37211-2263
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Country | US
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Telephone | 615-942-5433
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Fax | 615-942-8192
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Authorized Official
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Title or Position | CLINIC MANAGER
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Name | MADISON WOOD
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Credential |
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Telephone | 615-556-2673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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