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General NPI Number Information
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NPI Number | 1649474479
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Entity Type | Organization
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Legal Business Name | CHC NASHVILLE CMHC, LLC
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 05/14/2008
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Provider Practice Location Address
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Address Line | 220 VENTURE CIR
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City | NASHVILLE
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State | TN
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Zip | 37228-1604
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Country | US
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Telephone | 615-620-7100
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Fax | 615-620-7101
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Provider Business Mailing Address
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Address Line | 220 VENTURE CIR
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City | NASHVILLE
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State | TN
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Zip | 37228-1604
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Country | US
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Telephone | 615-620-7100
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Fax | 615-620-7101
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Authorized Official
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Title or Position | CCO
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Name | MR. JOHN CROLEY
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Credential |
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Telephone | 615-376-6200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | I2(14)M20479450
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License Number State | TN
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