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General NPI Number Information
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NPI Number | 1558769752
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Entity Type | Individual
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Provider Name | DACEY CARR
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Gender | Female
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Dates
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Enumeration Date | 12/21/2014
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Last Update Date | 12/21/2014
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Provider Practice Location Address
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Address Line | 330 FRANKLIN RD STE. 135A-193
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City | BRENTWOOD
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State | TN
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Zip | 37027-3280
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Country | US
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Telephone | 615-442-7988
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Fax | 615-815-1377
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Provider Business Mailing Address
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Address Line | 578B HARPETH BEND DR
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City | NASHVILLE
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State | TN
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Zip | 37221-3618
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Country | US
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Telephone | 770-883-6613
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-14-16746
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License Number State |
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