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General NPI Number Information
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NPI Number | 1619883451
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Entity Type | Organization
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Legal Business Name | PSYCHIATRY & BEHAVIORAL HEALTH TENNESSEE, LLC
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Dates
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Enumeration Date | 08/21/2026
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 3051 BUFFALO RD
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City | LAWRENCEBURG
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State | TN
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Zip | 38464-6189
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Country | US
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Telephone | 931-762-7518
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Fax |
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Provider Business Mailing Address
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Address Line | 701 N FEDERAL HWY STE 601
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-2467
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FINANCIAL CONTROLLER
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Name | ERIC JARQUIN
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Credential |
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Telephone | 954-651-8332
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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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