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General NPI Number Information
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NPI Number | 1518615566
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Entity Type | Organization
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Legal Business Name | ATTUNE THERAPEUTIC SERVICES
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Dates
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Enumeration Date | 03/17/2022
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Last Update Date | 04/05/2022
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Provider Practice Location Address
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Address Line | 310 E MAIN AVE
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City | BOWLING GREEN
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State | KY
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Zip | 42101-2143
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Country | US
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Telephone | 270-216-1662
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Fax |
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Provider Business Mailing Address
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Address Line | 556 EMMETT AVE APT 59
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City | BOWLING GREEN
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State | KY
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Zip | 42101-4111
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Country | US
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Telephone | 270-216-1662
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NICOLE L YOUNG
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Credential | LCSW; LCADC
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Telephone | 270-216-1662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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