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General NPI Number Information
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NPI Number | 1558005579
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Entity Type | Organization
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Legal Business Name | RECOVERY CLINIC GROUP TENNESSEE INC
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Dates
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Enumeration Date | 04/26/2022
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Last Update Date | 10/07/2022
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Provider Practice Location Address
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Address Line | 106 MISSION CT STE 201A
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City | FRANKLIN
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State | TN
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Zip | 37067-6441
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Country | US
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Telephone | 615-390-2865
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Fax |
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Provider Business Mailing Address
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Address Line | 106 MISSION CT STE 201A
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City | FRANKLIN
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State | TN
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Zip | 37067-6441
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Country | US
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Telephone | 615-390-2865
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KEVIN D LEE
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Credential |
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Telephone | 615-973-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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