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General NPI Number Information
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NPI Number | 1497677223
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Entity Type | Individual
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Provider Name | BRIAN VAILES
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Gender | Male
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Dates
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Enumeration Date | 07/25/2026
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Last Update Date | 07/25/2026
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Provider Practice Location Address
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Address Line | 6918 SHALLOWFORD RD STE 326
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City | CHATTANOOGA
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State | TN
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Zip | 37421-1553
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Country | US
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Telephone | 423-827-7695
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Fax |
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Provider Business Mailing Address
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Address Line | 310 BANK ST
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City | CHATTANOOGA
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State | TN
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Zip | 37415-4150
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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 |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 7866
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License Number State | TN
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