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General NPI Number Information
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NPI Number | 1518213735
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Entity Type | Organization
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Legal Business Name | TONY RICE CENTER INC
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Dates
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Enumeration Date | 07/25/2012
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Last Update Date | 07/25/2012
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Provider Practice Location Address
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Address Line | 1300 RAILROAD AVE
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City | SHELBYVILLE
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State | TN
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Zip | 37160-3616
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Country | US
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Telephone | 931-685-0957
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Fax | 931-684-3370
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Provider Business Mailing Address
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Address Line | 1300 RAILROAD AVE
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City | SHELBYVILLE
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State | TN
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Zip | 37160-3616
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Country | US
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Telephone | 931-685-0957
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Fax | 931-684-3370
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CODY LEE HARRIS
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Credential |
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Telephone | 931-685-0957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 1000000010154
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License Number State | TN
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