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General NPI Number Information
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NPI Number | 1518122639
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Entity Type | Organization
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Legal Business Name | THE FLORENCE CRITTENTON AGENCY INC
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Dates
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Enumeration Date | 07/29/2008
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Last Update Date | 09/10/2012
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Provider Practice Location Address
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Address Line | 1531 DICK LONAS RD
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City | KNOXVILLE
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State | TN
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Zip | 37909
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Country | US
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Telephone | 865-602-2956
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Fax | 865-909-9320
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Provider Business Mailing Address
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Address Line | 1531 DICK LONAS RD
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City | KNOXVILLE
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State | TN
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Zip | 37909
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Country | US
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Telephone | 865-602-2021
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Fax | 865-602-2039
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | NANCY CHRISTIAN
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Credential |
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Telephone | 865-602-2021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1000000002939
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | L000000010819
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License Number State | TN
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