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General NPI Number Information
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NPI Number | 1518871250
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Entity Type | Individual
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Provider Name | LE'NITA GILLIAM
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Gender | Female
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 4005 CEDAR GLADES DR STE A
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City | MURFREESBORO
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State | TN
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Zip | 37128-3203
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Country | US
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Telephone | 615-560-6622
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Fax |
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Provider Business Mailing Address
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Address Line | 830 MCKEAN DR
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City | SMYRNA
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State | TN
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Zip | 37167-6903
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Country | US
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Telephone | 513-476-4990
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | TN
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