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General NPI Number Information
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NPI Number | 1558180828
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Entity Type | Individual
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Provider Name | KIARA HASSELL
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Gender | Female
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Dates
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Enumeration Date | 10/04/2024
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Last Update Date | 10/04/2024
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Provider Practice Location Address
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Address Line | 401 S. MT. JULIET ROAD SUITE 235-115
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City | MT. JULIET
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State | TN
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Zip | 37122
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Country | US
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Telephone | 619-992-9442
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Fax |
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Provider Business Mailing Address
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Address Line | 1018 MERIDIAN ST
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City | NASHVILLE
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State | TN
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Zip | 37207-5761
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Country | US
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Telephone | 270-221-2464
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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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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 976131
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License Number State | TN
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