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NPI 1528934049

NPI 1528934049 : RENAISSANCE RECOVERY TENNESSEE LLC : NASHVILLE, TN

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General NPI Number Information
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    NPI Number           |    1528934049
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    Entity Type          |    Organization 
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    Legal Business Name  |    RENAISSANCE RECOVERY TENNESSEE LLC 
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Dates
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    Enumeration Date     |    10/13/2025
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    Last Update Date     |    02/06/2026
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Provider Practice Location Address
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    Address Line         |    2200 8TH AVE S 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37204-2206
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    Country              |    US
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    Telephone            |    949-742-0172
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    Fax                  |    949-688-6546
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Provider Business Mailing Address
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    Address Line         |    2200 8TH AVE S 
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    City                 |    NASHVILLE
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    State                |    TN
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    Zip                  |    37204-2206
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    Country              |    US
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    Telephone            |    949-742-0172
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    Fax                  |    949-688-6546
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Authorized Official
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    Title or Position    |    HUMAN RESOURCES
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    Name                 |     JAMIE  COURTNEY 
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    Credential           |    
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    Telephone            |    949-467-4801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR0405X
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    Taxonomy Name        |    Substance Use Disorder Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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