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General NPI Number Information
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NPI Number | 1669068425
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Entity Type | Organization
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Legal Business Name | RIDGE POINTE MENTAL HEALTH CENTER
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Dates
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Enumeration Date | 12/16/2020
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Last Update Date | 12/16/2020
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Provider Practice Location Address
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Address Line | 111 PARK ST
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City | ATHENS
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State | TN
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Zip | 37303-4255
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Country | US
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Telephone | 423-252-0075
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Fax | 423-453-5243
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Provider Business Mailing Address
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Address Line | 111 COUNTY ROAD 2520
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City | ATHENS
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State | TN
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Zip | 37303-6925
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Country | US
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Telephone | 423-252-0075
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Fax |
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Authorized Official
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Title or Position | OWNER/ DIRECTOR
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Name | RASHANAE ARNWINE
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Credential |
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Telephone | 423-252-0075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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